Individual
DR. TAE SOON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2950 NORTHUP WAY STE 115, BELLEVUE, WA 98004-1406
(425) 893-8100
Mailing address
1408 SW 170TH ST, NORMANDY PARK, WA 98166-3448
(917) 843-2735
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
E4895
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 60234756
WA
Other
Enumeration date
05/29/2008
Last updated
03/09/2015
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