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

Jin S Park, MD

Individual provider Internal Medicine Physician · NPI 1205892130

Jin S Park, MD is a Hospitalist in Portland, Oregon. Graduated from University of Texas Medical School at San Antonio in 1998, 28 years ago. Practices with Portland Adventist Medical Center, a 272-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
28
Trained at
University of Texas Medical School at San Antonio
Licensed in
OR
In the registry since
2006
Specialties on file
2
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

10123 SE Market St
Portland, OR 97216-2532
Phone: (503) 261-6985
Fax: (503) 261-6790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD23152 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD23152 (OR)

Record details

NPI number1205892130
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESDecember 7, 2017

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 1998 (28 years in practice)
Group practice Portland Adventist Medical Center — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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