Jae O Park, MD - Medicare Internal Medicine in Beaverton, OR

Jae O Park, MD is a medicare enrolled "Internal Medicine" physician in Beaverton, Oregon. He graduated from medical school in 1969 and has 55 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 14455 Sw Allen Blvd, Suite 101, Beaverton, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 643-2120.

Jae O Park is licensed to practice in Oregon (license number MD13752) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780621805.

Contact Information

Jae O Park, MD
14455 Sw Allen Blvd, Suite 101,
Beaverton, OR 97005-4428
(503) 643-2120
(503) 643-1034

Map and Direction




Physician's Profile

Full NameJae O Park
GenderMale
SpecialityInternal Medicine
Experience55 Years
Location14455 Sw Allen Blvd, Beaverton, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jae O Park graduated from medical school in 1969
  NPI Data:
  • NPI Number: 1780621805
  • Provider Enumeration Date: 05/31/2006
  • Last Update Date: 02/24/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4789842345
  • Enrollment ID: I20120228000765

Medical Identifiers

Medical identifiers for Jae O Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780621805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD13752 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Vincent Medical CenterPortland, ORHospital

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jae O Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jae O Park, MD
12750 Sw 2nd St, Ste 101,
Beaverton, OR 97005-2779

Ph: (503) 643-2120
Jae O Park, MD
14455 Sw Allen Blvd, Suite 101,
Beaverton, OR 97005-4428

Ph: (503) 643-2120

Reviews and Comments


Internal Medicine Doctors in Beaverton, OR

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Dr. Helen Lawrence Henry, MD
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Dr. Edmund Howard Torkelson, D.O.
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Practice Location: 1960 Nw 167th Pl, Suite #204, Beaverton, OR 97006
Phone: 503-614-8735    Fax: 503-614-8749

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.