Jae O Park, MD

NPI #1780621805 in Beaverton, Oregon

Provider Information

NPI Number: 1780621805
Entity Type: Individual
Name: Jae O Park, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: May 31, 2006
Last Updated: Feb 24, 2017

Practice Location

Address: 14455 SW ALLEN BLVD
Address 2: SUITE 101
City: Beaverton
State: Oregon
ZIP Code: 97005-4428
Phone: (503) 643-2120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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