Individual
ANDREW PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
27500 168TH PL SE, COVINGTON, WA 98042-5563
(425) 690-3430
(425) 690-9430
Mailing address
1660 S COLUMBIAN WAY # 112-POD, SEATTLE, WA 98108-1532
(206) 762-1010
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO60788616
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60788616
WA
Other
Enumeration date
06/18/2015
Last updated
12/05/2022
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