Dr. Jay Y Park
Dermatologist
360 S Garden Way Ste 230
Eugene
, Oregon 97401-8187
Dr. Jay Y Park
Dermatologist
360 S Garden Way Ste 230
Eugene
, Oregon 97401-8187
(541) 741-7249
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Jay Y Park
- 360 S Garden Way Ste 230
- Eugene, OR
- Zip : 97401-8187
- Fax : (541) 741-7249
- Phone : (541) 747-6159
Second Address
- Dr. Jay Y Park
- 360 S Garden Way Ste 230
- Eugene, OR
- Zip : 97401-8187
- Fax : (541) 741-7249
- Phone : (541) 747-6159
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD20395 | OR |
National Provider Identifier
| NPI | 1023086857 |
|---|---|
| Provider Name | Dr. Jay Y Park |
| First Address | Eugene, OR 97401-8187 |
| Second Address | Eugene, OR 97401-8187 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2006 |
| Last Update Date | 26/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 071634 | (05) | OR |
| G39727 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.