Active NPI
Jae Min Jung
- Certified Registered Nurse Anesthetist
- Clackamas, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 10018660
- Practice address
- 10180 SE Sunnyside Rd
Clackamas, OR 97015-8970 - Phone
- (800) 813-2000
- NPI assigned
- Oct 4, 2021
- Last updated
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 10018660 | OR | |
| Certified Registered Nurse Anesthetist | 367500000X | 324901 | AZ | |
| Certified Registered Nurse Anesthetist | 367500000X | 10018660 | OR | Primary |
Addresses
Primary practice location
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Mailing address
500 NE Multnomah St Ste 100
Portland, OR 97232-2031
Other practice location 1
1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 901-3500
Other practice location 2
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WI, WA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000
900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.06 of 100
- Quality
- 64.36
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2669 | MN | MD | Professional Counselor |
| 324901 | AZ | MD | Certified Registered Nurse Anesthetist |
| 10018660 | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grande Ronde Hospital, Inc. | Current | Accepting new patients | |
| The Howard Young Medical Center, Inc. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Coast Surgery Center, LLC | Current | Accepting new patients | |
| The Howard Young Medical Center, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwest HBP Medical Services LLC | Current | Accepting new patients | |
| Grande Ronde Hospital, Inc. | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
29980 Network Pl
Chicago, IL 60673
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 786-8435
10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880
2699 N 17th St
Ste A
Coos Bay, OR 97420
Phone (541) 266-3600
900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421
500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- La Grande, OR
- NPI 1467446195
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, WA
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Coos Bay, OR
- NPI 1205889110
-
dba Howard Young Medical Center - Crna
- Certified Registered Nurse Anesthetist
- Woodruff, WI
- NPI 1306898838
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Clarkston, WA
- NPI 1598814352
-
dba Grande Ronde Hospital Urgent Care
- Rural Health Clinic/Center
- La Grande, OR
- NPI 1093296519
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
dba Howard Young Medical Center
- General Acute Care Hospital
- Woodruff, WI
- NPI 1184673352
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grande Ronde Hospital Childrens Clinic
- Pediatrics Physician
- La Grande, OR
- NPI 1861434615
Hospital
-
dba Grande Ronde Hospital Womens Clinic
- Obstetrics & Gynecology Physician
- La Grande, OR
- NPI 1972545895
Hospital
-
dba Grande Ronde Hospital Internal Medicine Clinic
- Primary Care Clinic/Center
- La Grande, OR
- NPI 1174553929
Hospital
-
- Critical Access Hospital
- La Grande, OR
- NPI 1467446195
-
dba Northwest Medical Center
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1104598598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10180 SE SUNNYSIDE RD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970158970",
"telephone_number": "800-813-2000"
}
],
"practiceLocations": [
{
"address_1": "1551 E Tangerine Rd",
"address_purpose": "LOCATION",
"city": "Oro Valley",
"state": "AZ",
"postal_code": "857556213",
"country_code": "US",
"telephone_number": "520-901-3500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037560001",
"country_code": "US",
"telephone_number": "603-650-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNG",
"first_name": "JAE MIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-04",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "10018660",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "324901",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "10018660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.