SearchOregon183500000X

In Pyo Peter Park, PHARM.D

NPI 1740304351 · on the registry since 2007 · sole proprietor

Practice

Address
5285 Meadows Road
Suite 320
Lake Oswego, OR 97035
Phone
(503) 785-9936
Fax
(610) 335-4001
Organisation at this address
Doclogic, Llc
Sapphire Blue Behavioral Health Solutions
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
183500000X
183500000X
Licence states on file
OR, WA, VA, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

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