Doctor Name: | JEANNA PARK |
NPI Number: | 1255564274 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 60566256 |
Business Practice Address: | 16122 8th Ave Sw E-5 Burien, WA - 981662967 |
Business Phone Number: | 2062410824 |
Business Fax Number: | 2062438002 |
Mailing Address: | 16122 8th Ave Sw, E-5 BURIEN |
State: | WA |
Postal Code: | 981662967 |
Phone Number: | 2062410824 |
Fax Number: | 2062438002 |
NPI Enumeration Date: | 08/25/2009 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 60566256 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |