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Dr. Douglas Lee Park, DDS
Pediatric Dentist in Gresham, Oregon
NPI 1366521122

Douglas Lee Park is a Pediatric Dentist based in Gresham, OR and is specialized in Pediatric Dentistry. Douglas Lee Park practices in Gresham, OR and has the professional credentials of DDS. The NPI Number for Douglas Lee Park is 1366521122 and holds a License No. D6620 (Oregon).

The current practice location address for Douglas Lee Park is 1201 Se 223Rd Ave, Gresham, OR and can be reached out via phone at 503-666-9800 and via fax at 503-666-6787. You can also correspond with Douglas Lee Park through the mailing address at 34116 SE CARPENTER LN, GRESHAM, OR - 97080 (mailing address contact number: 503-663-5162).

Location: 1201 Se 223Rd Ave, Gresham, OR, 97080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366521122
Provider Name
Douglas Lee Park
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1201 Se 223Rd Ave, Gresham, OR, 97080
Phone Number
503-666-9800
Fax Number
503-666-6787
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1201 Se 223Rd Ave
City
Gresham
State
Oregon
Zip
97030
Phone Number
503-666-9800
Fax Number
503-666-6787
person
Provider Business Mailing Address Details
Address
1201 Se 223Rd Ave
City
Gresham
State
Oregon
Zip
97030
Phone Number
503-666-9800
Fax Number
503-666-6787
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D6620 (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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