Individual
YEONG PAUL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1627 WOODS CT, HOOD RIVER, OR 97031-2915
(541) 386-9511
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62606
OR
Other
Enumeration date
12/07/2012
Last updated
12/20/2019
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