NPIMap

Individual provider Active NPI

Joseph P Shen, M.D.

  • Diagnostic Radiology Physician
  • Clackamas, OR
National Provider Identifier
1356458871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD25104 Issued in OR
Practice address
10180 SE Sunnyside Rd
Kaiser Sunnyside Medical Office
Clackamas, OR 97015-8970
Phone
(503) 945-1440
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD25104 OR Primary
Diagnostic Radiology Physician 2085R0202X MD00043757 WA

Addresses

Primary practice location

10180 SE Sunnyside Rd
Kaiser Sunnyside Medical Office
Clackamas, OR 97015-8970

Mailing address

2035 NW Lacamas Dr
Camas, WA 98607-7666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050601001077 OR Practitioner - Diagnostic Radiology 1052354941 Reassigns benefits to 1 organization
I20100210000037 WA Practitioner - Diagnostic Radiology 1052354941 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NRHS Radiology AssociatesGroup PAC ID 2668555731, 61 clinicians
Kennewick Radiology Group PCGroup PAC ID 9335230549, 34 clinicians

Practice addresses (Care Compare)

2730 NW 29TH Ave
Camas, WA 98607-7382
Phone (405) 307-1600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00043757WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 1, 2008 Accepting new patients
Kennewick Radiology Group PC Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Oklahoma Radiology Group P C Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Sep 30, 2015 Accepting new patients
Diagnostic Radiologists PC Diagnostic Radiology CurrentSince Sep 2, 2023 Accepting new patients
NRHS Radiology Associates Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 1, 2008 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Richland Memorial Hospital, Inc Past Accepting new patients

Locations

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

10180 SE Sunnyside Rd
Ofc
Clackamas, OR 97015
Phone (503) 571-1995

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 10

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 4

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356458871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 NW LACAMAS DR",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 SE SUNNYSIDE RD",
            "address_2": "KAISER SUNNYSIDE MEDICAL OFFICE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158970",
            "telephone_number": "503-945-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD25104",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00043757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

Verify at the official NPI Registry.