Individual
DR. RICHARD I. PARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5415 SW WESTGATE DR, SUITE 207, PORTLAND, OR 97221-2409
(503) 292-9274
(503) 292-2337
Mailing address
5415 SW WESTGATE DR, SUITE 207, PORTLAND, OR 97221-2409
(503) 292-9274
(503) 292-2337
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4262
OR
Other
Enumeration date
07/01/2005
Last updated
07/08/2007
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