KRISTINE JAYOUNG PARK

MILWAUKIE, OR
NPI1851920631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG211100)
Enumeration Date2020-04-03
Last Update Date2022-06-20
Business Address
KRISTINE JAYOUNG PARK DO
10330 SE 32ND AVE STE 205
MILWAUKIE, OR 97222-6594
Phone number: 503-513-8950
Mailing Address
KRISTINE JAYOUNG PARK DO
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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