DR. SHARON W SU M.D. NPI 1164646485

NPI Information

  • NPI: 1164646485
  • Provider Name: DR. SHARON W SU, M.D.
  • Classification: Pediatrics - 2080P0210X
  • Specialization: Pediatric Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 501 N GRAHAM ST
    SUITE 315
    PORTLAND, OR
    ZIP 97227
  • Phone: (503) 413-3090

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NPI Details

DR. Sharon W Su, M.D. is a pediatric nephrology pediatrics in Portland, OR. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. DR. Sharon W Su, M.D. NPI is 1164646485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

501 N GRAHAM ST
SUITE 315
PORTLAND, OR
ZIP 97227
Phone: (503) 413-3090
Fax: (503) 413-3948

The NPI 1164646485 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 enumeration date for this NPI number is 4/11/2007 and was last updated on 8/5/2018.

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
12080P0210XPediatricsPediatric NephrologyMD12760RHODE ISLANDYes

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
1MD157897OTHEROREGONMEDICAL LICENSE
2A91776OTHERCALIFORNIAMEDICAL LICENSE
3MD12760OTHERRHODE ISLANDLICENSE

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: 11/21/2025

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