Individual
KATHERINE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7772
(503) 494-7242
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7772
(503) 494-7242
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
MD209658
OR
2084N0400X
Neurology Physician
A134092
CA
2084N0400X
Neurology Physician
MD209658
OR
Other
Enumeration date
04/04/2013
Last updated
04/01/2026
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