Individual
YE JIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 339-5411
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MP7840398
WA
363AS0400X
Surgical Physician Assistant
PA61370219
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2238005
—
WA
Enumeration date
05/29/2020
Last updated
07/02/2026
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