Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHON LEX PARK, MD
Active Sole ProprietorDR. JONATHON LEX PARK, MD is a Family Medicine healthcare provider located in BANDON, Oregon. NPI 1588649289 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BANDON, OR
Registration Details
- NPI Number
- 1588649289
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2005 (20.669634957171 yrs)
- Last Updated
- Oct 9, 2013
- License
-
MD23699 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 10TH ST SEBANDON, OR, 974119157Browse OR providers · Browse ZIP 97411
- Phone
- 5413472313
- Fax
- 5413472015
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BANDON, OR
| Name | Credential | NPI |
|---|---|---|
| DR. HENRY H. HOLMES | M.D. | 1346277027 |
| MRS. JANET M BATES | M.D. | 1295745982 |
| GAIL K MCCLAVE | MD | 1902964125 |
| EMILY ANNE REINIG | DO | 1467985879 |
| HEIDI NOEL HANST | MD | 1174181325 |
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.