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

Ken Jongho Park, MD

Individual provider Nephrology Physician · NPI 1649436585

Ken Jongho Park, MD is a Nephrology in Salem, Oregon. Graduated from Rush Medical College of Rush University in 2004, 22 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
22
Trained at
Rush Medical College of Rush University
Licensed in
OR, WA
In the registry since
2008
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

2400 Lancaster Dr NE
Salem, OR 97305-1221
Phone: (503) 361-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD150901 (OR)
Nephrology Physician Taxonomy 207RN0300X · Licence MD60140050 (WA)

Record details

NPI number1649436585
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 30, 2008
Last updated in NPPESFebruary 4, 2022
Mailing address2400 Lancaster Dr Ne, Salem, OR 97305-1221

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2004 (22 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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