Search › Oregon › 1223G0001X
John Park, D.D.S
NPI 1558718437 · on the registry since 2016
Practice
- Address
- 2100 Ne Broadway St Ste 205
Portland, OR 97232 - Phone
- (503) 284-2893
- Fax
- (503) 287-2016
- Organisation at this address
- Surelux, Llc
John J Park Llc
Bay Care Med Corp
Dani Allen Lmt Llc
Luna Healthcare LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 44
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-21
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 Oregon