Organization
CORNELL URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEJUNG SHIN M.D. (PRESIDENT)
(503) 747-0120
Entity
Organization
Contact information
Practice address
12325 SW HORIZON BLVD UNIT 225, BEAVERTON, OR 97007-9474
(503) 747-0120
Mailing address
12325 SW HORIZON BLVD UNIT 225, BEAVERTON, OR 97007-9474
(503) 747-0120
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
MD22180
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024277
—
OR
Enumeration date
01/25/2012
Last updated
01/25/2012
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