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SOOYEON SHIM D.M.D
NPI 1487039897
Dentist - General Practice in Portland, OR

Active since July 27, 2015
4410 SE 82ND AVE STE 2050, PORTLAND, OR 97266(503) 771-0081(503) 772-2272 Get Directions Write a Review

NPPES record last updated: July 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sooyeon Shim D.m.d NPPES

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

SOOYEON SHIM D.M.D (NPI 1487039897) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D10290) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1487039897
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSOOYEON SHIMCredential: D.M.D
Location Address4410 SE 82ND AVE STE 2050Portland, OR 97266-2955
Mailing Address4410 Se 82nd Ave Ste 2050Portland, OR 97266-2955 · (503) 771-0081 · Fax (503) 772-2272
Phone(503) 771-0081
Fax(503) 772-2272
Sole ProprietorNo
Enumeration DateJuly 27, 2015
✔ NPI 1487039897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D10290
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4410 SE 82ND AVE STE 2050, Portland, OR 97266
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

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

ALEX THAT TON DMD
Dentist (General Practice)
4410 SE 82ND AVE STE 2050
PORTLAND, OR 97266
Multnomah County (503) 771-0081

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 Sooyeon Shim's NPI number?

The NPI number for Sooyeon Shim is 1487039897. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Where is Sooyeon Shim located?

Sooyeon Shim practices at 4410 SE 82nd Ave Ste 2050, Portland, OR 97266. The listed phone number is (503) 771-0081.

What is Sooyeon Shim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Sooyeon Shim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental Plan of Oregon and 8 other insurers list Sooyeon Shim 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 Sooyeon Shim was last updated on July 27, 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.