Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shirin R. Sukumar, MD

Individual provider Internal Medicine Physician · NPI 1245278993

Dr. Shirin R. Sukumar, MD is a Geriatric Medicine in Portland, Oregon. Qualified in 1994, 32 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
32
Licensed in
OR
In the registry since
2006
Specialties on file
2
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

1200 NW 23rd Ave Legacy Clinic Good Samaritan
Portland, OR 97210-2906
Phone: (503) 413-7074
Fax: (503) 413-6769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence MD23728 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD23728 (OR)

Record details

NPI number1245278993
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESAugust 27, 2007
Mailing address1200 Nw 23rd Ave, Legacy Clinic Good Samaritan, Portland, OR 97210-2906

Medicare enrollment

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

Medicare specialtyGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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