Individual provider · Type 1 NPI

Jae Min Jung

Certified Registered Nurse Anesthetist · Clackamas, OR

NPI number 1104598598 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Call (800) 813-2000 Map

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2031

Other practice locations

  • 1551 E Tangerine Rd, Oro Valley, AZ 85755-6213 · (520) 901-3500
  • 1 Medical Center Dr, Lebanon, NH 03756-0001 · (603) 650-5000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X10018660 (OR)
Certified Registered Nurse Anesthetist 367500000X324901 (AZ)
Certified Registered Nurse Anesthetist Primary 367500000X10018660 (OR)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1104598598

Jae Min Jung's National Provider Identifier is 1104598598, issued on Oct 4, 2021. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Clackamas, OR. The record was last updated on Jun 8, 2026.