Shahram Hosseinion, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD26562 Issued in OR

Practice address

1735 SE 33Rd Ave
Portland, OR 97214-5024

Phone

(503) 234-2070

Fax

(844) 373-1869

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1164477147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 SE 33RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145024",
            "telephone_number": "503-234-2070",
            "fax_number": "844-373-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 SE 33RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145024",
            "telephone_number": "503-234-2070",
            "fax_number": "844-373-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSEINION",
        "first_name": "SHAHRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD26562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243051",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noriko Hosoyamada, L.AC.
• Hospice Care of the Northwest, LLC.
• Hospitalist Medicine Physicians of Oregon-TCG, PC
• Hospitalist Medicine Physicians of Washington - TCS
• Hosseinion Family Medicine
• Madison M Hossfeld, PNP
• Saskia Hostetler Lippy, MD
• Haley Peterson Hostetler, M.D.
• Kaitlyn Hostetler
• Katelan Ruby Hostetler, MA, LPC

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.