# SONNY PARK PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Columbia Pacific Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801919980
- **Authorized official:** DR. SANGKUN (SONNY) PARK MD (OWNER)
- **Authorized official phone:** (503) 325-5360

## Contact information

- **Practice address:** 2120 EXCHANGE ST, STE 200, ASTORIA, OR 97103-3365
- **Practice address phone:** (503) 325-5360
- **Practice address fax:** (503) 325-9373
- **Mailing address:** 2120 EXCHANGE ST, STE 200, ASTORIA, OR 97103-3365
- **Mailing address phone:** (503) 325-5360
- **Mailing address fax:** (503) 325-9373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD18585 | OR | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 10/03/2012