Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER K PARK, D.O.
ActivePain Medicine (PM&R) · OLYMPIA, WA
Registration Details
- NPI Number
- 1831650043
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2019 (7.0629239952401 yrs)
- Last Updated
- Jun 24, 2024
- Licenses
-
2023000432 (MO)2020011741 (MO)OP61483972 (WA)
Practice Information
- Address
-
3909 9TH AVE SWOLYMPIA, WA, 985025134Browse WA providers · Browse ZIP 98502
- Phone
- 3605703460
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Student (Health Education/Training)
- 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.