Park, Joshua Jaeyoon

Park, Joshua Jaeyoon is an sole proprietor health care provider with primary practice located at 1010 Main Ave , Tillamook OR 97141-3818. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Park, Joshua Jaeyoon can be contacted via phone (503) 842-7788.

Contact Information

Primary practice address
1010 Main Ave Tillamook OR 97141-3818
Phone: (503) 842-7788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11897 Oregon

Profile Details

NPI number 1497537161
LBN Legal business name Park, Joshua Jaeyoon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2023
Last updated Oct 18th, 2023 - about 3 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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