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

Shanik J Fernando, MD

Individual provider Pediatric Otolaryngology Physician · NPI 1538514179

Shanik J Fernando, MD is an Otolaryngology in Portland, Oregon. Graduated from Vanderbilt University School of Medicine in 2016, 10 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Trained at
Vanderbilt University School of Medicine
Licensed in
OR
In the registry since
2016
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

9427 SW Barnes Rd Ste 395
Portland, OR 97225-6652
Phone: (503) 216-6050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Department Of Otolaryngology, Nashville, TN 37232-8605 — (615) 343-6972

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X · Licence MD209961 (OR)

Record details

NPI number1538514179
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2016
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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