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Kristine Jayoung Park, DO
Student in an Organized Health Care Education/Training Program in Milwaukie, Oregon
NPI 1851920631

Kristine Jayoung Park is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Kristine Jayoung Park practices in Milwaukie, OR and has the professional credentials of DO. The NPI Number for Kristine Jayoung Park is 1851920631 and holds a License No. PG211100 (Oregon).

The current practice location address for Kristine Jayoung Park is 10330 Se 32Nd Ave Ste 205, Milwaukie, OR and can be reached out via phone at 503-513-8950. You can also correspond with Kristine Jayoung Park through the mailing address at PO BOX 3158, PORTLAND, OR - 97208-3158 (mailing address contact number: ).

Location: 10330 Se 32Nd Ave Ste 205, Milwaukie, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851920631
Provider Name
Kristine Jayoung Park
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
10330 Se 32Nd Ave Ste 205, Milwaukie, OR, 97208-3158
Phone Number
503-513-8950
Fax Number
Provider Enumeration Date
04/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10330 Se 32Nd Ave Ste 205
City
Milwaukie
State
Oregon
Zip
97222-6594
Phone Number
503-513-8950
Fax Number
person
Provider Business Mailing Address Details
Address
10330 Se 32Nd Ave Ste 205
City
Milwaukie
State
Oregon
Zip
97222-6594
Phone Number
503-513-8950
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PG211100 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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