Individual provider · Type 1 NPI

Eunice Park, PA-C

Medical Physician Assistant · Puyallup, WA

NPI number 1366911604 Active

Practice location

1703 S Meridian Ste 101
Puyallup, WA 98371-7590

Call (253) 848-3000 Map

Fax (253) 840-6514

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1155890 (WA)
Medical Physician Assistant Primary 363AM0700XPA60920872 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1366911604

Eunice Park, PA-C's National Provider Identifier is 1366911604, issued on Nov 15, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Puyallup, WA. The record was last updated on Jul 19, 2023.