Individual
DR. EDWARD PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-4083
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP60694387
WA
208M00000X
Hospitalist Physician
OP60694387
WA
Other
Enumeration date
07/01/2008
Last updated
07/21/2020
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