Gwendolyn Edeen, MD
NPI 1619555356 · Ophthalmology Physician · Portland, OR
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gwendolyn Edeen, MD is a Ophthalmology Physician provider in Portland, OR (NPI 1619555356).
Provider details
- NPI number
- 1619555356
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD224237 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 750 E Adams StSyracuse, NY 13210-2306Phone: (315) 464-8948
Registry dates
- Enumerated
- 2021-04-01
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Frequently asked questions
- What is Gwendolyn Edeen's NPI number?
- Gwendolyn Edeen's National Provider Identifier (NPI) is 1619555356, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gwendolyn Edeen's specialty?
- Gwendolyn Edeen is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Gwendolyn Edeen located?
- Gwendolyn Edeen's practice location on file with NPPES is 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011.
- What is Gwendolyn Edeen's phone number?
- The practice phone number listed in the NPPES registry for Gwendolyn Edeen is (503) 494-3000.
- Does Gwendolyn Edeen accept Medicare?
- Gwendolyn Edeen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gwendolyn Edeen's NPI active?
- Yes — Gwendolyn Edeen's NPI (1619555356) is active in the NPPES registry as of the last update on 2025-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.