NPIMap

Individual provider Active NPI

Cynthia Shaff-Chin, MD

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1144235656
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD26547 Issued in OR
Practice address
6327 SE Milwaukie Ave
Portland, OR 97202-5418
Phone
(503) 659-4777
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD26547 OR Primary

Addresses

Primary practice location

6327 SE Milwaukie Ave
Portland, OR 97202-5418

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice location 1

5330 NE Glisan St
Ste 100
Portland, OR 97213-3069
Phone (503) 216-9700

Other identifiers 1

IdentifierTypeStateIssuer
243039MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cshaffchin133637@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000043 OR Practitioner - Family Practice 3173520715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan College of Medicine and Surgery, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Primary Care Group PCGroup PAC ID 0244125052, 44 clinicians

Practice addresses (Care Compare)

6327 SE Milwaukie Ave
Portland, OR 97202-5418
Phone (503) 659-4988

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD26547ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Primary Care Group, PC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Northwest Primary Care Group PC Family Medicine Current Accepting new patients
Northwest Primary Care Group PC Family Medicine Past Accepting new patients
Portland Clinic Family Medicine Past Accepting new patients

Locations

3033 SE Monroe St
Portland, OR 97222
Phone (503) 216-5380

6327 SE Milwaukie Ave
Portland, OR 97202
Phone (503) 418-8236

Interoperability endpoints

  • Direct secure messaging: cynthia.shaff-chin.1@30939.direct.athenahealth.com
  • Direct secure messaging: cshaffchin133637@oc.providencedirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1144235656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025418",
            "telephone_number": "503-659-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5330 NE Glisan St",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972133069",
            "country_code": "US",
            "telephone_number": "503-216-9700",
            "fax_number": "503-215-2676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFF-CHIN",
        "first_name": "CYNTHIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD26547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243039",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cshaffchin133637@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "5330 NE Glisan St",
            "address_2": "STE 100",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972133069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.