Individual
DR. RAYMOND D.H. PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12303 NE 130TH LN, SUITE 325, KIRKLAND, WA 98034-3099
(425) 899-3135
(425) 899-3143
Mailing address
PO BOX 69737, SEATTLE, WA 98168-8737
(206) 431-0138
(206) 246-5819
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00035685
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137538
WA STATE L&I
WA
05
—
8241622
—
WA
Enumeration date
10/20/2005
Last updated
03/02/2009
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