Individual
ESTHER J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
217512
MA
207R00000X
Internal Medicine Physician
Primary
MD00045987
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5031PA
BLUE SHIELD #
WA
05
—
8467540
—
WA
01
—
P00348782
RAILROAD MC #
WA
01
—
US7557476
AETNA PCP PIN
WA
Enumeration date
06/05/2006
Last updated
12/01/2021
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