Youngkun Park PA

NPI 1265757322 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1265757322
Gender Female
Enumeration Date 04/01/2010
Last Updated 01/22/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
5100 SW MACADAM AVE
SUITE 200
PORTLAND OR, 97239-6102, US
Phone (971) 202-5500
Fax (971) 202-5555
Business Location
5100 SW MACADAM AVE
SUITE 200
PORTLAND OR, 97239-6102, US
Phone (971) 202-5500
Fax (971) 202-5555
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Ms. Youngkun Park PA NPI is 1265757322, taxonomy code is 390200000X Youngkun Park PA physically located at 5100 Sw Macadam Ave, Portland OR, 97239-6102. NPI Number Youngkun Park PA has the Individual type.

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1265757322 NPI number is provided on an as is basis without warranty of any kind. 1265757322 is maintained by the National Plan & Provider Enumeration System. The contents of Youngkun Park PA are for informational purposes only.