Park, Audrey Y

Park, Audrey Y is an individual health care provider with primary practice located at 9725 3Rd Ave Ne Ste 500 , Seattle WA 98115-2024. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Park, Audrey Y can be contacted via phone (206) 527-1200.

Contact Information

Primary practice address
9725 3Rd Ave Ne Ste 500 Seattle WA 98115-2024
Fax: (206) 527-2514
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD60077988 Washington

Profile Details

NPI number 1902016314
LBN Legal business name Park, Audrey Y
Credentials MD,PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Sep 3rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902016314 NPPES
Washington Other MD60077988 PHYSICIANS LICENSE

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