Individual
CINDY PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 SW 2ND ST, RENTON, WA 98057-5937
(801) 891-1038
Mailing address
18501 68TH ST E, BONNEY LAKE, WA 98391-6855
(206) 818-3466
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
AP61469814
WA
363L00000X
Nurse Practitioner
Primary
AP61469814
WA
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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