Park, Raymond D.H.
Park, Raymond D.H. is an sole proprietor health care provider with primary practice located at 12303 Ne 130Th Ln Suite 325, Kirkland WA 98034-3099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Park, Raymond D.H. can be contacted via phone (425) 899-3135.Contact Information
Primary practice address
12303 Ne 130Th Ln Suite 325
Kirkland WA 98034-3099
Phone: (425) 899-3135
Fax: (425) 899-3143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD00035685 | Washington |
Profile Details
| NPI number | 1497744502 |
|---|---|
| LBN Legal business name | Park, Raymond D.H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Mar 2nd, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497744502 | NPPES |
| Washington | MEDICAID | 8241622 | |
| Washington | Other | 137538 |
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