JAE O PARK

BEAVERTON, OR
NPI1780621805
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD13752)
Enumeration Date2006-05-31
Last Update Date2017-02-24
Business Address
-- JAE O PARK MD
14455 SW ALLEN BLVD SUITE 101
BEAVERTON, OR 97005-4428
Phone number: 503-643-2120
Mailing Address
-- JAE O PARK MD
12750 SW 2ND ST STE 101
BEAVERTON, OR 97005-2779
Phone number: 503-643-2120
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