Individual
DR. JONATHAN ROLAND PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
038912
TN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD70042177
WA
Other
Enumeration date
01/04/2007
Last updated
01/28/2026
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