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COLUMBIA PACIFIC MEDICAL SERVICES
NPI 1801919980
Internal Medicine in Astoria, OR

Active since April 06, 2007CLIA 38D0919046 · Microscopy
2120 EXCHANGE ST, STE 200, ASTORIA, OR 97103(503) 325-5360(503) 325-9373 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Columbia Pacific Medical Services NPPES

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

COLUMBIA PACIFIC MEDICAL SERVICES (NPI 1801919980) is a healthcare organization registered as an internal medicine in Astoria, Oregon and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through December 31, 2027 and lists Sangkun (sonny) Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1801919980
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSONNY PARK PC
Location Address2120 EXCHANGE ST, STE 200Astoria, OR 97103-3365
Mailing Address2120 Exchange St, Ste 200Astoria, OR 97103-3365 · (503) 325-5360 · Fax (503) 325-9373
Phone(503) 325-5360
Fax(503) 325-9373
Organization SubpartNo
Authorized OfficialSangkun (sonny) ParkOwner · (503) 325-5360
Enumeration DateApril 6, 2007
Last NPPES UpdateOctober 3, 2012
✔ NPI 1801919980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD18585
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
2120 EXCHANGE ST, Astoria, OR 97103
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Other Names 1

Doing Business AsColumbia Pacific Medical Services

Other Identifiers 3

Other091424000OR · Regence Group Number
Medicaid286976OR
Medicare PINR109145OR

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Columbia Pacific Medical Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Columbia Pacific Medical Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sangkun Park, MD
Internal Medicine
NPI 1477622991
2120 EXCHANGE ST STE 200
Astoria, OR 97103
(503) 325-5360
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D0919046

Sonny Park MD Laboratory · Astoria, OR
Active · expires Dec 31, 2027
CLIA Number38D0919046
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorSangkun Park
Laboratory Phone(503) 325-5360
Laboratory LocationSonny Park MD Laboratory2120 Exchange St Suite 200, Astoria, OR 97103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sonny Park PC's NPI number?

The NPI number for Sonny Park PC is 1801919980. It was assigned to this organization in the NPPES registry on April 6, 2007. The provider is doing business as Columbia Pacific Medical Services.

Where is Sonny Park PC located?

Sonny Park PC is located at 2120 Exchange St Ste 200, Astoria, OR 97103. The listed phone number is (503) 325-5360.

What is Sonny Park PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sonny Park PC enrolled in Medicare?

Yes. Sonny Park PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sonny Park PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sonny Park PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sonny Park PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0919046) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sonny Park PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Sonny Park PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sonny Park PC was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.