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



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

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Internal Medicine Doctors in Beaverton, OR

Amanda Andersen,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005
Phone: 503-813-2000    
Dr. Naga Praneeth Raja, M.D.,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15700 Sw Greystone Ct, Beaverton, OR 97006
Phone: 971-262-9000    Fax: 971-262-9010
Chad T Pfefer, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1920 Nw Amberglen Pkwy, Ste 150, Beaverton, OR 97006
Phone: 971-327-4356    Fax: 971-327-4355
Gunardi Nyoto Irawan, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15950 Sw Millikan Way, Beaverton, OR 97003
Phone: 503-646-0161    
Dr. Ian L. Barr, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 15455 Nw Greenbrier Pkwy, Suite 130, Beaverton, OR 97006
Phone: 503-629-5499    Fax: 503-645-8982
Dr. Helen Lawrence Henry, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14795 Sw Murray Scholls Dr Ste 121, Beaverton, OR 97007
Phone: 503-747-4936    Fax: 503-747-4939
Dr. Edmund Howard Torkelson, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1960 Nw 167th Pl, Suite #204, Beaverton, OR 97006
Phone: 503-614-8735    Fax: 503-614-8749

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