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

Individual provider Infectious Disease Physician · NPI 1710054218

Justin Sungho Jin, MD is an Infectious Disease in Portland, Oregon. Graduated from Tulane University School of Medicine in 2004, 22 years ago. Practices with Providence Medical Institute, a 336-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
22
Trained at
Tulane University School of Medicine
Licensed in
OR
In the registry since
2006
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

5050 NE Hoyt St Ste 540
Portland, OR 97213-2985
Phone: (503) 215-6601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence MD27328 (OR)

Record details

NPI number1710054218
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Providence Medical Institute — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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