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Timothy Park
NPI 1457190738 · on the registry since 2024
Practice
- Address
- 1959 Ne Pacific Street; Box 357134
Seattle, WA 98195 - Phone
- (215) 285-5142
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-01
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