Dr. Kye Soo Park
Internist Rheumatology
700 Ne 87th Ave
Vancouver
, Washington 98664-1913
Dr. Kye Soo Park
Internist Rheumatology
700 Ne 87th Ave
Vancouver
, Washington 98664-1913
(360) 604-1749
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About
Features
Specialties
- Internist
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Kye Soo Park
- 700 Ne 87th Ave
- Vancouver, WA
- Zip : 98664-1913
- Fax : (360) 604-1749
- Phone : (360) 397-3370
Second Address
- Dr. Kye Soo Park
- 700 Ne 87th Ave
- Vancouver, WA
- Zip : 98664-1913
- Fax : (360) 604-1749
- Phone : (360) 397-3370
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Is Dr. Kye Soo Park a sole practitioner?
Is Dr. Kye Soo Park accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 2004-0437 | NM |
| N | 111NI0900X | Internist | 2004-0437 | NM |
| Y | 207RR0500X | Rheumatology | MD60145123 | WA |
National Provider Identifier
| NPI | 1043359037 |
|---|---|
| Provider Name | Dr. Kye Soo Park |
| First Address | Vancouver, WA 98664-1913 |
| Second Address | Vancouver, WA 98664-1913 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2007 |
| Last Update Date | 22/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0262973 | L & I (01) | WA |
| 1043359037 | (05) | WA |
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.