Individual provider · Type 1 NPI

Tae Soon Park, D.P.M.

Foot & Ankle Surgery Podiatrist · Bellevue, WA

NPI number 1528226263 Active

Practice location

2950 Northup Way Ste 115
Bellevue, WA 98004-1406

Call (425) 893-8100 Map

Mailing address

1408 SW 170th St
Normandy Park, WA 98166-3448

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103XE4895 (CA)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPO 60234756 (WA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1528226263

Tae Soon Park, D.P.M.'s National Provider Identifier is 1528226263, issued on May 29, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bellevue, WA. The record was last updated on Mar 9, 2015.