Individual
DONG-WOUK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 TRIANGLE SHOPPING CTR STE 400, LONGVIEW, WA 98632-4677
(360) 423-0220
Mailing address
600 TRIANGLE SHOPPING CTR STE 400, LONGVIEW, WA 98632-4677
(360) 423-0220
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35.136294
OH
207W00000X
Ophthalmology Physician
67129
WI
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD.61032551
WA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD197648
OR
Other
Enumeration date
06/25/2013
Last updated
07/13/2020
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