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Contact Information

SANGKUN PARK, MD
2120 EXCHANGE ST
STE 200
ASTORIA, OR97103-3364
 Phone: 503-325-5360
 Fax: 503-325-9373
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Bone Densitometry Radiologic Technologist

2471B0102X
 

Radiography Radiologic Technologist

2471C3402X
Indicates primary specialty

NPI Profile & details for SANGKUN PARK · (Male)

NPI # 1477622991
Status Active
Credentials MD
Entity Individual
Enumeration date 11/07/2006
Last updated 02/25/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD18585
  • OR Medicaid 061320
  • WA Medicaid 1091644
Hospital affiliation(s)
  • COLUMBIA MEMORIAL HOSPITAL - (Critical Access)
    2111 EXCHANGE STREET
    ASTORIA, OR 97103
  • OCEAN BEACH HOSPITAL - (Critical Access)
    174 FIRST AVENUE NORTH
    ILWACO, WA 98624
  • PROVIDENCE SEASIDE HOSPITAL - (Critical Access)
    725 S WAHANNA ROAD
    SEASIDE, OR 97138
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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