Individual provider · Type 1 NPI
Benjamin Ross Park, DO
Diagnostic Radiology Physician · Bothell, WA
NPI number
1770922676
Active
Practice location
22100 Bothell Everett Hwy
Bothell, WA 98021-8431
Mailing address
669 Carved Ter
Colorado Springs, CO 80919-1130
Other practice locations
- 602 Indiana Ave, Lubbock, TX 79415-3364 · (806) 775-8600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0102205720 (VA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | DR.0061359 (CO) |
| Diagnostic Radiology Physician | 2085R0202X | S1673 (TX) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2 other providers at this address
Other diagnostic radiology physician providers in Bothell
About NPI 1770922676
Benjamin Ross Park, DO's National Provider Identifier is 1770922676, issued on Jun 24, 2013. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Bothell, WA. The record was last updated on Oct 6, 2026.