JUSTIN DANIEL BOBYN MD
NPI 1225638356
Student in an Organized Health Care Education/Training Program in Portland, OR

Q: What is Justin Bobyn's NPI number?

The NPI number for Justin Bobyn is 1225638356. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Q: What is Justin Bobyn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Bobyn was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 28, 2020

3101 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239(503) 221-3424(503) 221-3490 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Justin Daniel Bobyn Md NPPES

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

JUSTIN DANIEL BOBYN MD (NPI 1225638356) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1225638356

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJUSTIN DANIEL BOBYNCredential: MD

Location Address3101 SW SAM JACKSON PARK ROADPortland, OR 97239-3009

Mailing AddressPo Box 8500, Lockbox 7642, Shriners Hospitals For Children, PortlandPhiladelphia, PA 19178-7642 · (813) 281-8115 · Fax (813) 281-8056

Phone(503) 221-3424

Fax(503) 221-3490

Sole ProprietorNo

Enumeration DateOctober 28, 2020

NPPES CertifiedOctober 28, 2020

✔ NPI 1225638356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3101 SW SAM JACKSON PARK ROAD, Portland, OR 97239

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

XUAN YE MD

Student in an Organized Health Care Education/Training Program