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Individual

MS. YOUNGKUN PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Mailing address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA156932
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2010
Last updated
12/07/2021
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