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

Dr. Sharon W Su, MD

Individual provider Pediatric Nephrology Physician · NPI 1164646485

Dr. Sharon W Su, MD is an Undefined Physician Type (Specify) in Portland, Oregon. Graduated from Tufts University School of Medicine in 2002, 24 years ago. Practices with Legacy Emanuel Hospital and Health Center, a 233-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
24
Trained at
Tufts University School of Medicine
Licensed in
RI
In the registry since
2007
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

501 N Graham St Ste 315
Portland, OR 97227
Phone: (503) 413-3090
Fax: (503) 413-3948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence MD12760 (RI)

Record details

NPI number1164646485
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESAugust 5, 2018
Mailing address501 N Graham St Ste 355, Portland, OR 97227-2005

Medicare enrollment

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

Medicare specialtyUNDEFINED PHYSICIAN TYPE (SPECIFY)
Also practisesPEDIATRIC MEDICINE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Legacy Emanuel Hospital And Health Center — 233 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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