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Dr. Jonathon Lex Park, MD
Family Medicine Physician in Bandon, Oregon
NPI 1588649289

Jonathon Lex Park is a Family Medicine Physician based in Coos Bay, OR. Jonathon Lex Park practices in Bandon, OR and has the professional credentials of MD. The NPI Number for Jonathon Lex Park is 1588649289 and holds a License No. MD23699 (Oregon).

The current practice location address for Jonathon Lex Park is 110 10Th St Se, Bandon, OR and can be reached out via phone at 541-347-2313 and via fax at 541-347-2015.

Location: 110 10Th St Se, Bandon, OR, 97420-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588649289
Provider Name
Jonathon Lex Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
110 10Th St Se, Bandon, OR, 97420-0000
Phone Number
541-347-2313
Fax Number
541-347-2015
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R0000WFBTV 01 OR MEDICARE GROUP PIN NUMBER
1407812365 01 OR NBMC GROUP NPI NUMBER
93063551 01 OR GROUP TAX ID NUMBER
CD8723 01 OR RR MEDICARE GROUP NUMBER
080182358 01 OR RR MEDICARE PTAN NUMBER
286887 05 OR
institution
Provider Business Practice Location Address Details
Address
110 10Th St Se
City
Bandon
State
Oregon
Zip
97411-9157
Phone Number
541-347-2313
Fax Number
541-347-2015
person
Provider Business Mailing Address Details
Address
110 10Th St Se
City
Bandon
State
Oregon
Zip
97411-9157
Phone Number
541-347-2313
Fax Number
541-347-2015
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD23699 (Oregon)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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