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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NANJIN JASMINE PARK, DPM

Active Sole Proprietor

DR. NANJIN JASMINE PARK, DPM is a Podiatrist healthcare provider located in PORTLAND, Oregon. NPI 1265743090 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · PORTLAND, OR

Registration Details

NPI Number
1265743090
Provider Type
Individual
Gender
Female
NPI Issued
Jun 26, 2010 (16.160424011872 yrs)
Last Updated
Jan 29, 2013
Licenses
DP125843 (OR)
PO60075502 (WA)
Sole Proprietor
Yes

Practice Information

Address
5311 SW BAIRD ST
PORTLAND, OR, 972195023
Browse OR providers · Browse ZIP 97219
Phone
5038941690
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Podiatrist

Other Podiatrist Providers in PORTLAND, OR

Name Credential NPI
DR. WAYNE A VETTER DPM 1467445387
STEPHEN M. HAYES DPM 1548254329
ROBERT ALLAN SAMPSON DPM 1730160516
LYNDON G JOHANSEN DPM 1306820402
LESTER F TENGSICO DPM 1538124904
DR. SUSAN G. RATHBUN D.P.M. 1861457921
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.