Individual
KRISTINE JAYOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1321 NE 99TH AVE STE 200, PORTLAND, OR 97220-9439
(503) 215-4250
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO223830
OR
Other
Enumeration date
04/03/2020
Last updated
09/10/2025
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