Individual
DR. JOCELYN A PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 RIVERBEND DRIVE, SPRINGFIELD, OR 97477-8800
(541) 222-3154
(541) 222-3359
Mailing address
P.O. BOX 7247, SPRINGFIELD, OR 97475-0011
(541) 686-9551
(541) 687-6716
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1314
NH
207L00000X
Anesthesiology Physician
Primary
MD29176
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1314
RESIDENTS LICENCE
NH
Enumeration date
10/03/2006
Last updated
10/11/2012
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