Sonny Park Pc is a Multi-specialty in Astoria, Oregon. Sonny Park Pc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Sonny Park Pc is 1801919980. The last update date is 2012-10-03.
Sonny Park Pc's current location address is 2120 Exchange St, Astoria, Oregon. You can contact this provider via phone number 5033255360 and fax number 5033259373. The mailing address for Sonny Park Pc is 2120 Exchange St, Astoria, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sonny Park Pc |
|---|---|
| Address | 2120 Exchange St, Astoria, Oregon |
| Phone Number | 5033255360 |
| Fax Number | 5033259373 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Park Sangkun (Sonny) |
| Credentials | MD |
| Telephone Number | 5033255360 |
NPI Number Detail
| NPI Number | 1801919980 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2012-10-03 |
Provider Mailing Address Detail
| Address | 2120 Exchange St |
|---|---|
| City | Astoria |
| State | Oregon (OR) |
| Post Code | 971033365 |
| Phone Number | 5033255360 |
| Fax Number | 5033259373 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 286976 | OR | -- | |
| 91424000 | OR | REGENCE GROUP NUMBER |
Post Comment/ Review Below
What is the Sonny Park Pc's unique identification number?
The Sonny Park Pc has been assigned the NPI (National Provider Identifier) Number 1801919980 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Sonny Park Pc's facilities are geographically located?
The facilities of Sonny Park Pc are physically situated at the following location: 2120 Exchange St, Astoria, OR, 971033365.
What is the area of specialization for Sonny Park Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sonny Park Pc is Multi-specialty, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801919980 to Sonny Park Pc?
The Centers for Medicare & Medicaid Services originally issued the 1801919980 to Sonny Park Pc on 2007-04-06.
As of what date were the Sonny Park Pc's details last updated?
The information pertaining to the Sonny Park Pc, including its address, specialty, and other details, was most recently updated on 2012-10-03.
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