Search › Washington › 207R00000X
Chan Park, M.D
NPI 1700147378 · on the registry since 2012 · sole proprietor
Practice
- Address
- 22226 Cliff Ave S
#304
Des Moines, WA 98198 - Phone
- (253) 946-9365
- Fax
- (253) 946-9365
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-30
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