Helen H Pak DC FNP LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HELEN H PAK DC FNP LLC

Practice address

12795 SW 3Rd St
Beaverton, OR 97005-2704

Phone

(503) 641-4244

Fax

(503) 641-0551

NPI assigned

May 23, 2019

Organization subpart

No

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

Authorized official

Name

Helen Pak, FNPNPI 1063531333

Title

Clinic Director

Phone

(503) 641-4244

Specialties & licenses 2

Addresses

Other names 1

• Kimmi Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Helen Pak, DC

  • Family Nurse Practitioner
  • Beaverton, OR
  • NPI 1063531333

  Chiropractor

  Medicare reassignment NPD Authorized official
• Ssung J Kimmi, DC

  • Chiropractor
  • Beaverton, OR
  • NPI 1912026196
  NPD
• Kathleen Yvonne Schroeder-Bush, LMT, CA

  • Massage Therapist
  • Beaverton, OR
  • NPI 1881996536
  NPD (past)
• Brooke Noelani Robison Smith, LMT

  • Massage Therapist
  • Beaverton, OR
  • NPI 1770081457
  NPD (past)

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1962069062",
    "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": {
        "organization_name": "HELEN H PAK DC FNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "503-641-4244",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimmi Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lydia Justine Hefferon, MSW
• Katherine Patricia Heierman
• Brooke Hein
• Ashley Heist, LMT
• Megan Hekala
• Alicia Luis Hellman
• Deborah Blair Helms, MD
• Kathryn P Helms, MA, CCC-SLP
• Hemine Health and Wellness LLC
• Brittany Louise Henderson, L.M.T.

• 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.
• 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.