Individual
SHUNG L NIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
1400 SW 5TH AVE, PORTLAND, OR 97201-5537
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
4930
AZ
363AM0700X
Medical Physician Assistant
Primary
PA186105
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767347
—
AZ
01
—
Z157989
MEDICARE PTAN
—
Enumeration date
09/20/2011
Last updated
05/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us