Search › Oregon › 101YA0400X
Kevin Shank
NPI 1760867659 · on the registry since 2015
Practice
- Address
- 33 Nw Broadway
Portland, OR 97209 - Phone
- (503) 944-4410
- Organisation at this address
- Central City Concern, Inc.
Billi Odegaard Dental ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 109
Additional practice sites
- 14255 Sw Brigadoon Ct, Beaverton, OR
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 1041C0700X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-01
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