WATCHAPOL SOWAPARK

BEAVERTON, OR
NPI1689314544
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: OR  DO226698)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-30
Last Update Date2025-10-24
Business Address
WATCHAPOL SOWAPARK DO
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 800-813-2000
Mailing Address
WATCHAPOL SOWAPARK DO
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 97232-2031
Phone number: 800-813-2000