Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHERINE PARK
ActiveKATHERINE PARK is a 2084E0001X healthcare provider located in PORTLAND, Oregon. NPI 1376886606 is currently active in the NPPES registry. Verify at CMS.
2084E0001X · PORTLAND, OR
Registration Details
- NPI Number
- 1376886606
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 4, 2013 (13.388330979871 yrs)
- Last Updated
- Jul 18, 2022
- Licenses
-
A134092 (CA)MD209658 (OR)
Practice Information
- Address
-
3181 SW SAM JACKSON PARK RDPORTLAND, OR, 972393011Browse OR providers · Browse ZIP 97239
- Phone
- 5034947772
- Fax
- 5034947242
- Primary Specialty
-
2084E0001X
2084E0001X
- Additional Specialty
- 2084E0001X
Other 2084E0001X Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| JULIA B. TOUB | M.D. | 1104095421 |
| TAE YEON KIM | MD | 1518462456 |
| AMANDA E. SIMON | MD | 1710514997 |
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.