Park, Jae O

Park, Jae O is an sole proprietor health care provider with primary practice located at 14455 Sw Allen Blvd Suite 101, Beaverton OR 97005-4428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Park, Jae O can be contacted via phone (503) 643-2120.

Contact Information

Primary practice address
14455 Sw Allen Blvd Suite 101 Beaverton OR 97005-4428
Phone: (503) 643-2120
Fax: (503) 643-1034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD13752 Oregon

Profile Details

NPI number 1780621805
LBN Legal business name Park, Jae O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Feb 24th, 2017 - about 7 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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