Kyung Jin Ko, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0020439 Issued in OR

Practice address

12240 SW Scholls Ferry Rd
Tigard, OR 97223-3354

Phone

(503) 639-3446

NPI assigned

Sep 19, 2025

Last updated

Sep 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jeannie Ko Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1043182942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 SW NYBERG LN APT 203",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627811",
            "telephone_number": "503-927-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12240 SW SCHOLLS FERRY RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972233354",
            "telephone_number": "503-639-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "KYUNG JIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0020439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNIE",
            "last_name": "KO",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rachel Melissa Knox, M.D.
• Brandy Knutson
• Joshua A Knutson, D.C.
• Summer Knutson, RN
• Faith Ann Knytych
• Amanda Kobelski
• Mary Catherine Koch
• Josie Kochendorfer
• Wendy Koga, PHARM.D
• Ashley Koivisto, RN

• Pharmacist in Tigard, OR
• Providers in Tigard, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.