Park, Song Y.

Park, Song Y. is an individual health care provider with primary practice located at 23320 Highway 99 , Edmonds WA 98026-8744. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Park, Song Y. can be contacted via phone (425) 640-5500.

Contact Information

Primary practice address
23320 Highway 99 Edmonds WA 98026-8744
Phone: (425) 640-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP61211573 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN219551 Georgia

Profile Details

NPI number 1568852317
LBN Legal business name Park, Song Y.
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2015
Last updated Oct 14th, 2021 - about 3 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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