Park, Sangkun
Park, Sangkun is an individual health care provider with primary practice located at 2120 Exchange St Ste 200, Astoria OR 97103-3364. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Technologists, Technicians & Other Technical Service Providers / Bone Densitometry, Technologists, Technicians & Other Technical Service Providers / Radiography. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Park, Sangkun can be contacted via phone (503) 325-5360.Contact Information
Primary practice address
2120 Exchange St Ste 200
Astoria OR 97103-3364
Phone: (503) 325-5360
Fax: (503) 325-9373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD18585 | Oregon |
| Technologists, Technicians & Other Technical Service Providers / Bone Densitometry | 2471B0102X | ||
| Technologists, Technicians & Other Technical Service Providers / Radiography | 2471C3402X |
Profile Details
| NPI number | 1477622991 |
|---|---|
| LBN Legal business name | Park, Sangkun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Feb 25th, 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 | 1477622991 | NPPES |
| Oregon | MEDICAID | 061320 | |
| Oregon | MEDICAID | 1091644 |
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