Healthcare Provider Details

I. General information

NPI: 1215807193
Provider Name (Legal Business Name): SCS OF OREGON, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5441 S MACADAM AVE STE N
PORTLAND OR
97239-6106
US

IV. Provider business mailing address

1171 S ROBERTSON BLVD STE 242
LOS ANGELES CA
90035-1403
US

V. Phone/Fax

Practice location:
  • Phone: 626-737-3195
  • Fax: 626-737-3209
Mailing address:
  • Phone: 626-737-3195
  • Fax: 626-737-3209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAHRIAR JARCHI
Title or Position: PRESIDENT
Credential: MD
Phone: 626-737-3195