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Organization
SONNY PARK PC
Active
Organization
SONNY PARK PC
Active
Other names
Columbia Pacific Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANGKUN (SONNY) PARK MD (OWNER)
(503) 325-5360
Entity
Organization
Contact information
Practice address
2120 EXCHANGE ST, STE 200, ASTORIA, OR 97103-3365
(503) 325-5360
(503) 325-9373
Mailing address
2120 EXCHANGE ST, STE 200, ASTORIA, OR 97103-3365
(503) 325-5360
(503) 325-9373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18585
OR
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
04/06/2007
Last updated
10/03/2012
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