Se Jung Shin MD Professional Corporation
NPI 1184829244ActiveOrganization· Emergency Medicine· Portland, OR
Emergency Medicine in Portland, Oregon, registered in NPPES in June 2007. The authorized official on file is Se Jung Shin, M.D. PC, President.
Overview
| NPI | 1184829244 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2007 |
| Last updated in NPPES | Apr 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 36696 | OR |
| Emergency Medicine, Emergency Medical Services | 207PE0004X | 36696 | OR |
| Emergency Medicine, Pediatric Emergency Medicine | 207PP0204X | 36696 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Emergency Medicine providers in Portland
- 1063648665
- 1649822990
- 1073607966
- 1225122369
- 1215983200
- 1598296394
- 1487678256
- 1124113808
- 1497840185
- 1538180740
- 1134495625
- 1174919708