Se Jung Shin Md Professional Corporation in Portland - Emergency Medicine
Se Jung Shin Md Professional Corporation - NPI 1184829244
Se Jung Shin Md Professional Corporation is a Emergency Medicine in Portland, Oregon. Se Jung Shin Md Professional Corporation practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Se Jung Shin Md Professional Corporation is 1184829244. The last update date is 2015-04-16.
Se Jung Shin Md Professional Corporation's current location address is 13305 Nw Cornell Rd, Portland, Oregon. You can contact this provider via phone number 5036468500 and fax number 5036468200. The mailing address for Se Jung Shin Md Professional Corporation is 13305 Nw Cornell Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Se Jung Shin Md Professional Corporation |
|---|---|
| Address | 13305 Nw Cornell Rd, Portland, Oregon |
| Phone Number | 5036468500 |
| Fax Number | 5036468200 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shin Se Jung |
| Credentials | M.D. PC |
| Telephone Number | 5036468500 |
NPI Number Detail
| NPI Number | 1184829244 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2015-04-16 |
Provider Mailing Address Detail
| Address | 13305 Nw Cornell Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972295987 |
| Phone Number | 5036468500 |
| Fax Number | 5036468200 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 36696 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1184829244 | NPI NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Se Jung Shin Md Professional Corporation by the Centers for Medicare & Medicaid Services?
The Se Jung Shin Md Professional Corporation has been assigned the NPI (National Provider Identifier) 1184829244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Se Jung Shin Md Professional Corporation is located?
The Se Jung Shin Md Professional Corporation is situated at the following address: 13305 Nw Cornell Rd, Portland, OR, 972295987.
What is Se Jung Shin Md Professional Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Se Jung Shin Md Professional Corporation is Emergency Medicine, and the taxonomy code that classifies this field of practice is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184829244 to Se Jung Shin Md Professional Corporation?
The Se Jung Shin Md Professional Corporation received its 1184829244 assignment from the Centers for Medicare & Medicaid Services on 2007-06-19.
As of what date was the information regarding Se Jung Shin Md Professional Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Se Jung Shin Md Professional Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-04-16.
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