Individual
JANE J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4615
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ML60019943
WA
207RR0500X
Rheumatology Physician
Primary
MD60236682
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467609651
—
WA
Enumeration date
08/19/2008
Last updated
10/15/2025
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