Grace Eunkyoung Park, DMD

Dentist · Gresham, OR

Individual Active NPI

NPI number 1871602722

Practice location

1024 SW Highland Dr
#a
Gresham, OR 97080-6353
Phone
(503) 492-7798
Fax
(503) 492-9020

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NPI record

NPI
1871602722
Entity type
Individual (Type 1)
Enumeration date
August 30, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D6881 OR

About Dr. Park

Grace Eunkyoung Park, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1024 SW Highland Dr, #a, Gresham, OR 97080-6353. The NPI number 1871602722 was assigned on August 30, 2006 and the record was last updated on July 8, 2007.

Dr. Park lists a license in the registry: #D6881 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grace Eunkyoung Park, DMD?

The NPI number is 1871602722.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (503) 492-7798.

Where is Dr. Park located?

1024 SW Highland Dr, #a, Gresham, OR 97080-6353.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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