SE JUNG SHIN, M.D.
Osteopathic Medicine at Cornell Rd, Portland, OR

License number
Oregon MD22180
Category
Osteopathic Medicine
Type
Emergency Medicine
Address
Address
13305 NW Cornell Rd STE C, Portland, OR 97229
Phone
(503) 646-8500
(503) 646-8200 (Fax)
National Provider ID: 1881665099
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SE JUNG SHIN at bizstanding.com

SE JUNG SHIN MD PROFESSIONAL CORPORATION

Portland, OR

Industry:
Medical Doctor's Office
Doing business as:
SE Jung Shin Professional Corporation
Registration:
May 2, 2007
Addresses:
13305 NW Cornell Rd STE C, Portland, OR 97229 (Physical)
Greg Carroll 13305 Nw Cornell Rd STE C, Portland, OR 97229 (Mailing)
State ID:
43312693
Business type:
DOMESTIC PROFESSIONAL CORPORATION
President:
Sejung Shin (President)
Agent:
Corporation Service Company,1127 Broadway St NE STE 310, Salem, OR 97301 (Physical)

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