person
Dr. Richard I. Park, DMD
Pediatric Dentist in Portland, Oregon
NPI 1306843669

Richard I. Park is a Pediatric Dentist based in Portland, OR and is specialized in Pediatric Dentistry. Richard I. Park practices in Portland, OR and has the professional credentials of DMD. The NPI Number for Richard I. Park is 1306843669 and holds a License No. 4262 (Oregon).

The current practice location address for Richard I. Park is 5415 Sw Westgate Dr, Portland, OR and can be reached out via phone at 503-292-9274 and via fax at 503-292-2337. You can also correspond with Richard I. Park through the mailing address at 5415 SW WESTGATE DR, PORTLAND, OR - 97221-2409 (mailing address contact number: 503-292-9274).

Location: 5415 Sw Westgate Dr, Portland, OR, 97221-2409
person
Provider Profile Details
NPI Number
1306843669
Provider Name
Richard I. Park
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
5415 Sw Westgate Dr, Portland, OR, 97221-2409
Phone Number
503-292-9274
Fax Number
503-292-2337
Provider Enumeration Date
07/01/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5415 Sw Westgate Dr
City
State
Zip
97221-2409
Phone Number
503-292-9274
Fax Number
503-292-2337
person
Provider Business Mailing Address Details
Address
5415 Sw Westgate Dr
City
State
Zip
97221-2409
Phone Number
503-292-9274
Fax Number
503-292-2337
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
4262 (Oregon)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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