TERRESA SHAO-VING JUNG MD NPI 1205928371

NPI Information

  • NPI: 1205928371
  • Provider Name: TERRESA SHAO-VING JUNG, MD
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 SW 13TH AVE
    PORTLAND, OR
    ZIP 97205
  • Phone: (503) 221-0161

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NPI Details

Terresa Shao-ving Jung, MD is a gynecology obstetrics gynecology in Portland, OR with 30 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Terresa Shao-ving Jung, MD NPI is 1205928371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1995

The provider's business location address is:

800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
Phone: (503) 221-0161
Fax: (503) 274-1697

The NPI 1205928371 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

The enumeration date for this NPI number is 9/28/2006 and was last updated on 11/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecologyMD21666OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1139412MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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