Individual
JUNGWON GENEVIEVE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
14 N MISSION ST STE 201, WENATCHEE, WA 98801-2250
(509) 596-0096
(509) 596-0225
Mailing address
14 N MISSION ST STE 201, WENATCHEE, WA 98801-2250
(509) 596-0096
(509) 596-0225
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD61297103
WA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD61297103
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2260815
—
WA
Enumeration date
05/12/2016
Last updated
04/08/2026
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