Jin S Park, MD | |
10123 Se Market St, Portland, OR 97216-2532 | |
(503) 261-6985 | |
(503) 261-6790 |
Full Name | Jin S Park |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 26 Years |
Location | 10123 Se Market St, Portland, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205892130 | NPI | - | NPPES |
8292310 | Medicaid | WA | |
287437 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD23152 (Oregon) | Secondary |
208M00000X | Hospitalist | MD23152 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Health Portland | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Portland Adventist Medical Center | 3274908819 | 242 |
Entity Name | Portland Adventist Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215910302 PECOS PAC ID: 7012827876 Enrollment ID: O20040226000131 |
Entity Name | Portland Adventist Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750091021 PECOS PAC ID: 3274908819 Enrollment ID: O20230412001327 |
Mailing Address | Practice Location Address |
---|---|
Jin S Park, MD Po Box 92900, Portland, OR 97292-0900 Ph: (503) 261-6985 | Jin S Park, MD 10123 Se Market St, Portland, OR 97216-2532 Ph: (503) 261-6985 |
Ellen B Stevenson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2801 N Gantenbein Ave, Department Of Pediatrics, Legacy Emanuel Hospital, Portland, OR 97227 Phone: 503-413-2402 Fax: 503-413-2566 | |
Ivan I Biley, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Mt 2800, Portland, OR 97225 Phone: 503-216-2621 | |
Dr. Thomas G Wimmer, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 Fax: 503-216-4114 | |
Dr. Rhonda Ann Brown, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St, Portland, OR 97213 Phone: 503-215-0750 | |
Todd R Merrick, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 Fax: 503-216-4114 | |
Dr. Rachel Anne Westwood, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239 Phone: 503-494-8311 | |
Joel N Papak, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, P3med, Portland, OR 97239 Phone: 503-220-8262 |