Park, Paul

Park, Paul is an sole proprietor health care provider with primary practice located at 219 State Ave N Ste 100 , Kent WA 98030-4543. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Park, Paul can be contacted via phone (253) 372-3602.

Contact Information

Primary practice address
219 State Ave N Ste 100 Kent WA 98030-4543
Phone: (253) 372-3602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD61225125 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 254635 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD61225125 Washington

Profile Details

NPI number 1316180037
LBN Legal business name Park, Paul
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2009
Last updated Jul 18th, 2022 - about 2 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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