SE JUNG SHIN (M.D.) – Emergency Medicine Physician, NPI 1881665099

SE JUNG SHIN (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MD22180 (OR). The NPI Number for SE JUNG SHIN (M.D.) is 1881665099

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
SE JUNG SHIN (M.D.)
NPI
1881665099
Phone
(503) 646-8500
Address
13305 NW Cornell Rd Ste C
Enumeration Date
27 January 2006
Last Update Date
30 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
3606488860
Graduation Year
1990 (36 years ago)
PAC ID
9436046521
Group Practice PAC ID
9436413861
Professional Enrollment ID
I20040804000497
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for SE JUNG SHIN (M.D.)

  • 13305 NW Cornell Rd Ste C

    Portland, OR 972295987

    Phone: (503) 646-8500

    Fax: (503) 646-8200

    Type: Location

  • Home Depot Kitchen & Bathroom Refacing, 3600, Lind Avenue Southwest, Renton, King County, Washington, 98055, United States

    RENTON, WA 980574934

    Phone: (425) 228-3440

    Type: Mailing

  • 10555 SE CARR RD BLDG M

    RENTON, WA 980555820

    Phone: (425) 656-4270

    Fax: (425) 656-4271

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97229)

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Reviews

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Frequently asked questions

What identifier follows SE JUNG SHIN (M.D.) across health systems?
The NPI 1881665099 uniquely identifies SE JUNG SHIN (M.D.) in U.S. healthcare data.
Does the public listing show SE JUNG SHIN (M.D.) as active?
SE JUNG SHIN (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does SE JUNG SHIN (M.D.) provide?
SE JUNG SHIN (M.D.)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SE JUNG SHIN (M.D.)?
The directory associates SE JUNG SHIN (M.D.) with Portland, Oregon. Check all listed addresses for suites or satellite offices.
Why is information missing for SE JUNG SHIN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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