Individual
JEANNA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 15TH AVE E, SEATTLE, WA 98112-5103
(206) 326-3000
Mailing address
310 15TH AVE E, SEATTLE, WA 98112-5103
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
60566256
WA
Other
Enumeration date
08/25/2009
Last updated
04/28/2021
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