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

Hermina Kung Jeon, MD

Individual provider Hospitalist Physician · NPI 1205191293

Hermina Kung Jeon, MD is an Internal Medicine in Portland, Oregon. Qualified in 2008, 18 years ago. Practices with Providence Health and Services - Oregon, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
18
Licensed in
OR
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4805 NE Glisan St
Portland, OR 97213
Phone: (503) 215-2392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4805 Ne Glisan St, Portland, OR 97213 — (503) 215-2392

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD190457 (OR)

Record details

NPI number1205191293
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2012
Last updated in NPPESSeptember 11, 2025
Certification dateOctober 14, 2020

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Providence Health And Services - Oregon — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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