Individual
DR. THOMAS YUNHAN PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
707 SW WASHINGTON ST, STE 700, PORTLAND, OR 97205-3536
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO154295
OR
207LP3000X
Pediatric Anesthesiology Physician
036121349
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036121349
STATE LICENCE
IL
05
—
500636878
—
OR
Enumeration date
08/18/2008
Last updated
10/19/2018
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