Columbia Pacific Medical Services
LBN: Sonny Park Pc
Columbia Pacific Medical Services is an health care organization with primary practice located at 2120 Exchange St Ste 200, Astoria OR 97103-3365. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Sonny Park Pc can be contacted via phone (503) 325-5360, or through Park, Sangkun (Sonny) via phone (503) 325-5360.
Contact Information
Primary practice address
2120 Exchange St Ste 200
Astoria OR 97103-3365
Phone: (503) 325-5360
Fax: (503) 325-9373
Website:
Authorized official contact:
Name: Park, Sangkun (Sonny) Doctor of Medicine (MD)
Phone: (503) 325-5360
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD18585 | Oregon |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1801919980 |
|---|---|
| LBN Legal business name | Sonny Park Pc |
| DBA Doing business as | Columbia Pacific Medical Services |
| Authorized official | Park, Sangkun (Sonny) Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Oct 3rd, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801919980 | NPPES |
| Oregon | MEDICAID | 286976 | |
| Oregon | Other | 091424000 |
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