Park, Ken Jongho

Park, Ken Jongho is an individual health care provider with primary practice located at 2400 Lancaster Dr Ne , Salem OR 97305-1221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Park, Ken Jongho can be contacted via phone (503) 361-5400.

Contact Information

Primary practice address
2400 Lancaster Dr Ne Salem OR 97305-1221
Phone: (503) 361-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD60140050 Washington
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD150901 Oregon

Profile Details

NPI number 1649436585
LBN Legal business name Park, Ken Jongho
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2008
Last updated Feb 4th, 2022 - about 4 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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