Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAE O PARK, MD
Active Sole ProprietorJAE O PARK, MD is a Internal Medicine healthcare provider located in BEAVERTON, Oregon. NPI 1780621805 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · BEAVERTON, OR
Registration Details
- NPI Number
- 1780621805
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2006 (20.181568891502 yrs)
- Last Updated
- Feb 24, 2017
- License
-
MD13752 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14455 SW ALLEN BLVDSUITE 101BEAVERTON, OR, 970054428Browse OR providers · Browse ZIP 97005
- Phone
- 5036432120
- Fax
- 5036431034
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in BEAVERTON, OR
| Name | Credential | NPI |
|---|---|---|
| DR. REEWEN C. D'SOUZA-KAMATH | M.D. | 1831192756 |
| DAVID P LARSON | MD | 1992798599 |
| DR. ANITHA L RAJ | M.D. | 1881676013 |
| LIZA M RODRIGUEZ JIMENEZ | M.D. | 1346222049 |
| DR. GARY SANG KIM | M.D. | 1306820667 |
| VANDANA N BINDAL | M.D. | 1639113590 |
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.