Individual
DR. JAY Y PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., P.C.
Contact information
Practice address
360 S GARDEN WAY STE 230, EUGENE, OR 97401-8187
(541) 747-6159
(541) 741-7249
Mailing address
360 S GARDEN WAY STE 230, EUGENE, OR 97401-8187
(541) 747-6159
(541) 741-7249
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD20395
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071634
—
OR
Enumeration date
03/09/2006
Last updated
08/26/2020
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