Search › Washington › 207R00000X
Lydia Park, D.O
NPI 1871886531 · on the registry since 2011
Practice
- Address
- 2529 Ne 139th St Ste 110
Vancouver, WA 98686 - Phone
- (360) 882-2778
- Organisation at this address
- The Vancouver Clinic Inc Ps
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Additional practice sites
- 1200 Route 300, Newburgh, NY
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
208000000X - Licence states on file
- NY, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-02
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