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 Date2025-08-16
Business Address
WATCHAPOL SOWAPARK DO
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 800-813-2000
Mailing Address
WATCHAPOL SOWAPARK DO
2171 NE 5TH AVE
BOCA RATON, FL 33431-7610
Phone number: 561-866-4059