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

Kristine Jayoung Park, DO

Individual provider Family Medicine Physician · NPI 1851920631

Kristine Jayoung Park, DO is a Family Practice in Portland, Oregon. Graduated from Western Un of Hlth Sciences, Col of Podiatric Med in 2022, 4 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
4
Trained at
Western Un of Hlth Sciences, Col of Podiatric Med
Licensed in
OR
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1321 NE 99th Ave Ste 200
Portland, OR 97220-9439
Phone: (503) 215-4250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO223830 (OR)

Record details

NPI number1851920631
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated 2022 (4 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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