DR. Nanjin Jasmine Park, DPM

NPI #1265743090 in Portland, Oregon

Provider Information

NPI Number: 1265743090
Entity Type: Individual
Name: DR. Nanjin Jasmine Park, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jun 26, 2010
Last Updated: Jan 29, 2013

Practice Location

Address: 5311 SW BAIRD ST
City: Portland
State: Oregon
ZIP Code: 97219-5023
Phone: (503) 894-1690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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