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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SE JUNG SHIN MD PROFESSIONAL CORPORATION

Active Organization

SE JUNG SHIN MD PROFESSIONAL CORPORATION is a Emergency Medicine organization located in PORTLAND, Oregon. NPI 1184829244 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · PORTLAND, OR

Registration Details

NPI Number
1184829244
Provider Type
Organization
NPI Issued
Jun 19, 2007 (19.151004103566 yrs)
Last Updated
Apr 16, 2015
Licenses
36696 (OR)
36696 (OR)
36696 (OR)

Practice Information

Address
13305 NW CORNELL ROAD, SUITE C
PORTLAND, OR, 97229
Browse OR providers · Browse ZIP 97229
Phone
5036468500
Fax
5036468200
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Pediatric Emergency Medicine
Additional Specialty
Emergency Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.