Individual
DR. CHUNG-JAE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21035 SW PACIFIC COAST HWY, STE 100, SHERWOOD, OR 97140
(503) 925-1473
(503) 925-1479
Mailing address
21035 SW PACIFIC HWY STE 100, SHERWOOD, OR 97140-8036
(503) 575-4864
(503) 966-3993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8095
OR
Other
Enumeration date
07/29/2005
Last updated
04/01/2025
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