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

Shidrokh Taeidi, DO

Individual provider Family Medicine Physician · NPI 1780110205

Shidrokh Taeidi, DO is a Family Practice in Hillsboro, Oregon. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2017, 9 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
9
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
OR, WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

10670 NE Cornell Rd Ste 300
Hillsboro, OR 97124-9221
Phone: (503) 216-9300
Show map & directions

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

Additional practice locations (1)

  • 8329 Sw Beaverton Hillsdale Hwy, Portland, OR 97225-2215 — (503) 414-5160

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO198909 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence OL60769782 (WA)

Record details

NPI number1780110205
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 3, 2017
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2017 (9 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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