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

Jae Min Jung

Individual provider Registered Nurse · NPI 1104598598

Jae Min Jung is a Certified Registered Nurse Anesthetist (CRNA) in Clackamas, Oregon. Qualified in 2021, 5 years ago. Practices with Medstream Anesthesia PLLC, a 577-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Oregon.

Years since qualifying
5
Licensed in
AZ, OR
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1551 E Tangerine Rd, Oro Valley, AZ 85755-6213 — (520) 901-3500
  • 1 Medical Center Dr, Lebanon, NH 03756-0001 — (603) 650-5000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 10018660 (OR)
Registered Nurse Taxonomy 163W00000X · Licence 10018660 (OR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 324901 (AZ)

Record details

NPI number1104598598
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2021
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 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 specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Medstream Anesthesia Pllc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clackamas