Individual provider · Type 1 NPI

Catherine Park

Student in an Organized Health Care Education/Training Program · Blaine, WA

NPI number 1194679134 Active

Practice location

288 Martin St
Blaine, WA 98230-4045

Call (360) 788-4228 Map

Fax (360) 778-1423

Mailing address

2612 Kaaha St Apt 4
Honolulu, HI 96826-3107

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194679134

Catherine Park's National Provider Identifier is 1194679134, issued on Feb 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Blaine, WA. The record was last updated on Feb 25, 2026.