Individual provider · Type 1 NPI

Ken Jongho Park, MD

Nephrology Physician · Salem, OR

NPI number 1649436585 Active

Practice location

2400 Lancaster Dr NE
Salem, OR 97305-1221

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician 207RN0300XMD60140050 (WA)
Nephrology Physician Primary 207RN0300XMD150901 (OR)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1649436585

Ken Jongho Park, MD's National Provider Identifier is 1649436585, issued on Jul 30, 2008. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Salem, OR. The record was last updated on Feb 4, 2022.