Individual
MR. CHI YOL PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1510 SE 97TH AVE, VANCOUVER, WA 98664-3656
(360) 936-1557
Mailing address
1510 SE 97TH AVE, VANCOUVER, WA 98664-3656
(360) 936-1557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010706
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112819
—
WA
Enumeration date
05/12/2009
Last updated
01/20/2015
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