James E Park, MD
Family Medicine in Seattle, WA. Individual provider (NPI-1).
NPI number1285647925
StatusActive
Last updated in NPPESFeb 13, 2025
Details
- NPI
- 1285647925
- Entity type
- Individual (NPI-1)
- Name
- James E Park
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2006
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD00038843 | WA | Yes |
Practice location
9245 Rainier Ave SSeattle, WA 98118-5569
Phone 206-548-5850
Mailing address
1200 12th Ave S Ste 901Seattle, WA 98144-2712
Phone 206-548-3114
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