Se Jung Shin MD Professional Corporation
NPI 1184829244 · Emergency Medicine Physician · Portland, OR
Se Jung Shin MD Professional Corporation is a Emergency Medicine Physician organization in Portland, OR (NPI 1184829244).
Provider details
- NPI number
- 1184829244
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Se Jung Shin, President(503) 646-8500
- License
- 36696 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Cornell Urgent Care
Registry dates
- Enumerated
- 2007-06-19
- Last updated
- 2015-04-16
Frequently asked questions
- What is Se Jung Shin MD Professional Corporation's NPI number?
- Se Jung Shin MD Professional Corporation's National Provider Identifier (NPI) is 1184829244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Se Jung Shin MD Professional Corporation?
- Se Jung Shin MD Professional Corporation is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Se Jung Shin MD Professional Corporation located?
- Se Jung Shin MD Professional Corporation's practice location on file with NPPES is 13305 Nw Cornell Road, Suite C, Portland, OR 97229.
- What is Se Jung Shin MD Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Se Jung Shin MD Professional Corporation is (503) 646-8500.
- Who is the authorized official for Se Jung Shin MD Professional Corporation?
- The authorized official listed on Se Jung Shin MD Professional Corporation's NPPES record is Se Jung Shin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Se Jung Shin MD Professional Corporation's NPI active?
- Yes — Se Jung Shin MD Professional Corporation's NPI (1184829244) is active in the NPPES registry as of the last update on 2015-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.