Individual
EZEKIEL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
4333 BROOKLYN AVE NE, SEATTLE, WA 98195-1016
(206) 598-9323
Mailing address
4333 BROOKLYN AVE NE, SEATTLE, WA 98195-8013
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
LR61439188
WA
Other
Enumeration date
04/12/2025
Last updated
04/14/2025
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