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

MINYOUNG PARK, PA-C

Active Sole Proprietor

MINYOUNG PARK, PA-C is a Physician Assistant healthcare provider located in CLACKAMAS, Oregon. NPI 1831803568 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CLACKAMAS, OR

Registration Details

NPI Number
1831803568
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2023 (3.6169124226917 yrs)
Last Updated
Dec 19, 2023
Licenses
1180781 (VA)
PA214629 (OR)
Sole Proprietor
Yes

Practice Information

Address
10151 SE SUNNYSIDE RD STE 100
CLACKAMAS, OR, 970155705
Browse OR providers · Browse ZIP 97015
Phone
5036590880
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in CLACKAMAS, OR

Name Credential NPI
HOWARD KEITH FERGUSON PAC 1174638514
ADRIAN B CHOATE PA 1881700821
AMANDA MARIE SMITH PA-C 1669574943
TODD JOSEPH VAN HEE PHYSICIAN ASSISTANT 1306930722
MR. FRANK JOHN PACOSA P.A. 1821183229
STEPHEN L GODSIL PA 1144357161
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.