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

Dr. Gwendolyn Edeen, MD

Individual provider Ophthalmology Physician · NPI 1619555356

Dr. Gwendolyn Edeen, MD is an Ophthalmology in Portland, Oregon. Graduated from University of Connecticut School of Medicine in 2021, 5 years ago. Practices with Legacy Good Samaritan Hospital and Medical Center, a 192-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Trained at
University of Connecticut School of Medicine
Licensed in
OR
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-3000
Fax: (503) 494-4286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 E Adams St, Syracuse, NY 13210-2306 — (315) 464-8948

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD224237 (OR)

Record details

NPI number1619555356
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Legacy Good Samaritan Hospital And Medical Center — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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