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SE JUNG SHIN M.D.
NPI 1881665099
Emergency Medicine in Renton, WA

Active since January 27, 2006
10555 SE CARR RD BLDG M, RENTON, WA 98055(425) 656-4270(425) 656-4271 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Se Jung Shin M.d. NPPES

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

SE JUNG SHIN M.D. (NPI 1881665099) is an individual emergency medicine provider in Renton, Washington, licensed in Washington (MD00038373) and active in the NPI registry since January 2006. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1881665099
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSE JUNG SHINCredential: M.D.
Location Address10555 SE CARR RD BLDG MRenton, WA 98055-5820
Mailing Address3600 Lind Ave SwRenton, WA 98057-4934 · (425) 228-3440
Phone(425) 656-4270
Fax(425) 656-4271
Sole ProprietorYes
Enumeration DateJanuary 27, 2006
Last NPPES UpdateApril 30, 2018
✔ NPI 1881665099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WA · MD00038373✔ Licensed in OR · MD22180
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.
10555 SE CARR RD BLDG M, Renton, WA 98055
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Secondary Practice Location 1

Location 113305 NW Cornell Rd Ste CPortland, OR 97229-5987 · Phone (503) 646-8500 · Fax (503) 646-8200

Other Identifiers 3

Medicaid2065309WA
OtherG8959946WA · Medicare
Medicaid130308OR

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's NPI number?

The NPI number for Se Jung Shin is 1881665099. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Se Jung Shin located?

Se Jung Shin practices at 10555 SE Carr Rd Bldg M, Renton, WA 98055. The listed phone number is (425) 656-4270.

What is Se Jung Shin's specialty?

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

When was this NPI record last updated?

The NPPES record for Se Jung Shin was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.