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CORNELL URGENT CARE
NPI 1184829244
Emergency Medicine in Portland, OR

Active since June 19, 2007
13305 NW CORNELL ROAD, SUITE C, PORTLAND, OR 97229(503) 646-8500(503) 646-8200 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cornell Urgent Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNELL URGENT CARE (NPI 1184829244) is a healthcare organization registered as an emergency medicine in Portland, Oregon and active in the NPI registry since June 2007. The organization lists Se Jung Shin, President, as its authorized official.

NPPES Registry Identity

NPI1184829244
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSE JUNG SHIN MD PROFESSIONAL CORPORATION
Location Address13305 NW CORNELL ROAD, SUITE CPortland, OR 97229
Mailing Address13305 Nw Cornell Rd, Suite CPortland, OR 97229-5987 · (503) 646-8500 · Fax (503) 646-8200
Phone(503) 646-8500
Fax(503) 646-8200
Organization SubpartNo
Authorized OfficialSe Jung ShinPresident · (503) 646-8500
Enumeration DateJune 19, 2007
Last NPPES UpdateApril 16, 2015
✔ NPI 1184829244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OR · 36696
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 36696 (OR)
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 36696 (OR)
13305 NW CORNELL ROAD, SUITE C, Portland, OR 97229
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Other Names 1

Doing Business AsCornell Urgent Care

Other Identifiers 2

Medicare PIN138485OR
Other1184829244Npi Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is SE Jung Shin MD Professional Corporation's NPI number?

The NPI number for SE Jung Shin MD Professional Corporation is 1184829244. It was assigned to this organization in the NPPES registry on June 19, 2007. The provider is doing business as Cornell Urgent Care.

Where is SE Jung Shin MD Professional Corporation located?

SE Jung Shin MD Professional Corporation is located at 13305 NW Cornell Road, Suite C, Portland, OR 97229. The listed phone number is (503) 646-8500.

What is SE Jung Shin MD Professional Corporation's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does SE Jung Shin MD Professional Corporation accept?

Health plans from Providence Health Plan list SE Jung Shin MD Professional Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for SE Jung Shin MD Professional Corporation was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.