Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

SE Jung Shin MD Professional Corporation

Organization Emergency Medicine Physician · NPI 1184829244

SE Jung Shin MD Professional Corporation is an Emergency Medicine Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

13305 NW Cornell Rd Ste C
Portland, OR 97229
Phone: (503) 646-8500
Fax: (503) 646-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 36696 (OR)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 36696 (OR)
Pediatric Emergency Medicine (Emergency Medicine) Physician Taxonomy 207PP0204X · Licence 36696 (OR)

Record details

NPI number1184829244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Se Jung Shin — President · (503) 646-8500
Other names Cornell Urgent Care
NPI enumeratedJune 19, 2007
Last updated in NPPESApril 16, 2015
Mailing address13305 Nw Cornell Rd, Suite C, Portland, OR 97229-5987

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