Park, Chung-Jae
Park, Chung-Jae is an individual health care provider with primary practice located at 16015 Sw Tualatin Sherwood Rd Ste 160, Sherwood OR 97140-8424. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Park, Chung-Jae can be contacted via phone (503) 925-1473.Contact Information
Primary practice address
16015 Sw Tualatin Sherwood Rd Ste 160
Sherwood OR 97140-8424
Phone: (503) 925-1473
Fax: (503) 925-1479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D8095 | Oregon |
Profile Details
| NPI number | 1942200050 |
|---|---|
| LBN Legal business name | Park, Chung-Jae |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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