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Individual

DR. NANJIN JASMINE PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
5311 SW BAIRD ST, PORTLAND, OR 97219-5023
(503) 894-1690
Mailing address
5311 SW BAIRD ST, PORTLAND, OR 97219-5023
(503) 894-1690

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP125843
OR
213E00000X
Podiatrist
PO60075502
WA

Other

Enumeration date
06/26/2010
Last updated
01/29/2013
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