Shawna Lebechuck-Fisk, DENTAL ASSISTANT

NPI #1003704727 in Portland, Oregon

Provider Information

NPI Number: 1003704727
Entity Type: Individual
Name: Shawna Lebechuck-Fisk, DENTAL ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: DENTAL ASSISTANT
Enumeration Date: Jun 24, 2025
Last Updated: Jun 24, 2025

Practice Location

Address: 12750 SE STARK ST BLDG E
City: Portland
State: Oregon
ZIP Code: 97233-1539
Phone: (971) 347-3009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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