# CHRISTOPHER PARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558776062
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 2018-00955 | NC | — |
| 208000000X | Pediatrics Physician | 30041 | NE | — |
| 208000000X | Pediatrics Physician | MD211150 | OR | — |
| 2080P0207X | Pediatric Hematology & Oncology Physician | 0101284351 | VA | Yes |
| 2080P0207X | Pediatric Hematology & Oncology Physician | MD049177 | DC | — |
| 2080P0207X | Pediatric Hematology & Oncology Physician | MD211150 | OR | — |

## Other

- **Enumeration date:** 06/23/2014
- **Last updated:** 08/21/2025