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Contact Information

ANDREW PARK, DPM
1660 S COLUMBIAN WAY # 112-POD
SEATTLE, WA98108
 Phone: 206-762-1010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ANDREW PARK · (Male)

NPI Number 1124400858
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/18/2015
Last updated 12/05/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # PO60788616
Hospital affiliation(s) Not Available
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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