Active NPI
Hyuna Shou
- Pediatric Nurse Practitioner
- Portland, OR
National Provider Identifier
1255141503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 10037688
- Practice address
- 5050 NE Hoyt St Ste B55
Portland, OR 97213-2957 - Phone
- (503) 233-5393
- NPI assigned
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 10037688 | OR | Primary |
Addresses
Primary practice location
5050 NE Hoyt St Ste B55
Portland, OR 97213-2957
Mailing address
8645 SE Sunnybrook Blvd # 200
Clackamas, OR 97015-6841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10037688 | OR | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rupa K. Shah, MD, PC | Past | Accepting new patients |
Interoperability endpoints
- hshou1525002@direct.lhs.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Oregon Pediatrics-Clackamas
- Pediatrics Physician
- Clackamas, OR
- NPI 1275579906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1255141503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8645 SE SUNNYBROOK BLVD # 200",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970156841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST STE B55",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132957",
"telephone_number": "503-233-5393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOU",
"first_name": "HYUNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OR",
"license": "10037688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.