Park, Peter S

Park, Peter S is an individual health care provider with primary practice located at 1003 Wallace Way , Grandview WA 98930-8805. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Park, Peter S can be contacted via phone (509) 786-2222.

Contact Information

Primary practice address
1003 Wallace Way Grandview WA 98930-8805
Phone: (509) 786-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP61125867 Washington

Profile Details

NPI number 1154937241
LBN Legal business name Park, Peter S
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2020
Last updated Jun 2nd, 2021 - about 4 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.

Request for update

Popular Providers