Helen Pak, DC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201902023NP-PP Issued in OR

Practice address

12795 SW 3Rd St
Beaverton, OR 97005-2704

Phone

(503) 641-4244

Fax

(503) 641-0551

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Helen Pak Professional name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Helen H Pak DC FNP LLC

  • Family Nurse Practitioner
  • Beaverton, OR
  • NPI 1962069062

  Chiropractor

  Medicare reassignment NPD Authorized official
• Ssung J. Kimmi PC

  • Clinic/Center
  • Beaverton, OR
  • NPI 1568768992

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1063531333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12795 SW 3RD ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052704",
            "telephone_number": "503-641-4244",
            "fax_number": "503-641-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12795 SW 3RD ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052704",
            "telephone_number": "503-641-4244",
            "fax_number": "503-641-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "HELEN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3609",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201902023NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH INSURANCE PROVIDER",
            "identifier": "HP1067806",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "PAK",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sonia Padilla, CADC-I, CGAC-R
• Soo Paeng
• Heidi Wolford Paget, PTA
• Elijah Chambers Pahl, LCSW
• Micah E Painter
• Kaitlyn Nicole Palau
• Yolonda Palen, LMT
• Michael Palensky, M.A., FAAA
• Elizabeth Palestino, CSWA, MSW
• Kathleen Marie Palm, MD

• Family Nurse Practitioner in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.