TED PARK

VANCOUVER, WA
NPI1871113050
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD61411462)
Enumeration Date2020-04-17
Last Update Date2023-07-23
Business Address
TED PARK MD
501 SE 172ND AVE
VANCOUVER, WA 98684-9542
Phone number: 360-882-2778
Mailing Address
TED PARK MD
PO BOX 4825
PORTLAND, OR 97208-4825
Phone number: 360-882-2778