Search › Oregon › 207Q00000X
Jonathon Park, MD
NPI 1588649289 · on the registry since 2005 · sole proprietor
Practice
- Address
- 110 10th St Se
Bandon, OR 97411 - Phone
- (541) 347-2313
- Fax
- (541) 347-2015
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-10-09
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