JANICE HAESUN PARK-KWON MD
NPI 1295398840
Obstetrics & Gynecology in Tualatin, OR

Q: What is Janice Park-kwon's NPI number?

The NPI number for Janice Park-kwon is 1295398840. It was assigned to this individual provider in the NPPES registry on April 19, 2019. The provider is also known as Janice Haesun Park MD.

Q: What is Janice Park-kwon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Janice Park-kwon was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2019PECOS EnrolledAccepts Medicare Assignment

19250 SW 65TH AVE STE 300, TUALATIN, OR 97062(503) 692-1242(503) 691-3615 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2026, Aug 29, 2023, Apr 19, 2019 (3 updates tracked since 2019).

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About Janice Haesun Park-kwon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANICE HAESUN PARK-KWON MD (NPI 1295398840) is an individual obstetrics & gynecology provider in Tualatin, Oregon, licensed in Oregon (MD214718) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Legacy Meridian Park Medical Center, and is a graduate of University Of Virginia School Of Medicine (2019).

NPPES Registry Identity

NPI1295398840

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameJANICE HAESUN PARK-KWONCredential: MD

Location Address19250 SW 65TH AVE STE 300Tualatin, OR 97062-7707

Mailing Address7650 Sw Beveland Rd Ste 200Portland, OR 97223-8692 · (503) 601-3615 · Fax (503) 646-1683

Phone(503) 692-1242

Fax(503) 691-3615

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2019

Enumeration DateApril 19, 2019

Last NPPES UpdateJanuary 30, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2026

✔ NPI 1295398840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OR · MD214718

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

19250 SW 65TH AVE STE 300, Tualatin, OR 97062

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Other Names 1

Former Name (1)Janice Haesun Park Md

Other Identifiers 1

Medicaid500824926OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Janice Haesun Park-kwon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709111396

PECOS Enrollment IDI20230912002500

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380089

Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA LUISA RAFFAELLI CNM

Advanced Practice Midwife