Individual
MRS. JENNY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14925 SW BARROWS RD STE 109, BEAVERTON, OR 97007-7565
(971) 229-4915
Mailing address
14925 SW BARROWS RD STE 109, BEAVERTON, OR 97007-7565
(971) 229-4915
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10976
OR
Other
Enumeration date
11/22/2019
Last updated
12/16/2022
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