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Glen Shimshak, DMD
NPI 1205948130 · on the registry since 2006
Practice
- Address
- 511 Sw 10th
#1008
Portland, OR 97205 - Phone
- (503) 223-2442
- Fax
- (503) 223-9447
- Organisation at this address
- Pacific University
Bridgeview Dental Assoc LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon