Individual
SEO YOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12667 NW MILAZZO LN, PORTLAND, OR 97229-9365
(503) 927-3662
Mailing address
12667 NW MILAZZO LN, PORTLAND, OR 97229-9365
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
10009455
OR
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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