KRISTINE JAYOUNG PARK DO
NPI 1851920631
Family Medicine in Portland, OR

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
1321 NE 99TH AVE STE 200, PORTLAND, OR 97220(503) 215-4250 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Apr 8, 2020, Apr 3, 2020 (3 updates tracked since 2020).

About Kristine Jayoung Park Do NPPES

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

KRISTINE JAYOUNG PARK DO (NPI 1851920631) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (DO223830) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2022).

NPPES Registry Identity

NPI1851920631
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTINE JAYOUNG PARKCredential: DO
Location Address1321 NE 99TH AVE STE 200Portland, OR 97220-9439
Mailing AddressPo Box 3158Portland, OR 97208-3158
Sole ProprietorNo
Medical School CMSWestern Un Of Hlth Sciences, Col Of Podiatric MedGraduated 2022
Enumeration DateApril 3, 2020
Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1851920631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · DO223830
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Accepted 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

Kristine Jayoung Park Do 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 ID42690448
PECOS Enrollment IDI20250820003702
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.

Hospital Affiliations CMS Care Compare 2

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
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 8

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

Psychologist (Clinical)
1321 NE 99TH AVE STE 200
PORTLAND, OR 97220
Family Medicine
1321 NE 99TH AVE STE 200
PORTLAND, OR 97220
Family Medicine
1321 NE 99TH AVE STE 200
PORTLAND, OR 97220
Physician Assistant
1321 NE 99TH AVE STE 200
PORTLAND, OR 97220
Registered Nurse (Ambulatory Care)
1321 NE 99TH AVE STE 200
PORTLAND, OR 97220
Family Medicine
1321 NE 99TH AVE STE 200
PORTLAND, OR 97220
Psychologist (Clinical)
1321 NE 99TH AVE STE 200
PORTLAND, OR 97220
Family Medicine
1321 NE 99TH AVE STE 200
PORTLAND, OR 97220

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 Kristine Park's NPI number?

The NPI number for Kristine Park is 1851920631. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Kristine Park located?

Kristine Park practices at 1321 NE 99th Ave Ste 200, Portland, OR 97220. The listed phone number is (503) 215-4250.

What is Kristine Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristine Park enrolled in Medicare?

Yes. Kristine Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristine Park accept?

Health plans from Providence Health Plan list Kristine Park 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.

Is Kristine Park affiliated with any hospitals?

According to CMS data, Kristine Park is affiliated with Providence Portland Medical Center and Providence Milwaukie Hospital.

When was this NPI record last updated?

The NPPES record for Kristine Park was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.