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

DR. PETER K PARK, D.O.

Active

DR. PETER K PARK, D.O. is a Pain Medicine (PM&R) healthcare provider located in OLYMPIA, Washington. NPI 1831650043 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (PM&R) · OLYMPIA, WA

Registration Details

NPI Number
1831650043
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2019 (7.4171027071197 yrs)
Last Updated
Jun 24, 2024
Licenses
2023000432 (MO)
2020011741 (MO)
OP61483972 (WA)

Practice Information

Address
3909 9TH AVE SW
OLYMPIA, WA, 985025134
Browse WA providers · Browse ZIP 98502
Phone
3605703460
Primary Specialty
Pain Medicine (PM&R)
2081P2900X
Additional Specialty
Pain Medicine (PM&R)
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.