Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edward Sung Bae Pak

Individual provider Emergency Medicine Physician · NPI 1194353920

Edward Sung Bae Pak is an Emergency Medicine in Clackamas, Oregon. Graduated from Loma Linda University School of Medicine in 2020, 6 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
6
Trained at
Loma Linda University School of Medicine
Licensed in
OR, WA
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (800) 813-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1460 G St, Springfield, OR 97477-4112 — (541) 726-4400

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD219369 (OR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD70092676 (WA)

Record details

NPI number1194353920
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address500 Ne Multnomah St Ste 100, Portland, OR 97232-2031

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clackamas