SearchWashington208000000X

Sung Park, MD

NPI 1215103171 · on the registry since 2008 · sole proprietor

Practice

Address
1505 Nw Gilman Blvd Ste 8
Issaquah, WA 98027
Phone
(425) 357-7082
Fax
(425) 437-5259
Organisation at this address
Issaquah Plastic Surgery Pllc
Lighthouse Pediatric Medicine Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
208000000X
208000000X
208000000X
Licence states on file
UT, WA, IL, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington