YOOJIN PARK (NPI# 1417212812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417212812 |
| Entity Type | Individual |
| Full Name | YOOJIN PARK |
| Credential | M.D. |
| Practice Address |
1718 E Kessler Blvd Longview WA 98632-1842 |
| Mailing Address |
1115 Se 164th Ave Dept. 358 Vancouver WA 98683-9324 |
| Practice Telephone | 3607471842 |
| Mailing Telephone | 3607291462 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60539959 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2044629 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821161035 | Yoojin Park | Physical Therapist | 195 Falcon Drive, Fredericksburg, VA 22408 | 2006-11-16 |
| Street Address |
1718 E KESSLER BLVD |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237262 | Timothy A Randall | Family Medicine | 1718 E Kessler Blvd, Longview, WA 98632-1842 | 2005-07-05 |
| 1316434210 | Caroline Nelson | Emergency Medical Technician, Basic | 1718 E Kessler Blvd, Longview, WA 98632 | 2018-04-16 |
| 1427407253 | Joshua M Hamoud | Internal Medicine | 1718 E Kessler Blvd, Longview, WA 98632-1842 | 2016-06-13 |
| 1487001780 | Robert Drummond Shepherd | Internal Medicine | 1718 E Kessler Blvd, Longview, WA 98632-1842 | 2016-05-17 |
| 1215303771 | Adam Ryan Weeks | Nurse Practitioner | 1718 E Kessler Blvd, Longview, WA 98632-1842 | 2015-08-19 |
| 1891178653 | Nicole Leanne Landry | Family Medicine | 1718 E Kessler Blvd, Longview, WA 98632-1842 | 2015-06-29 |
| 1972985505 | Jocelyn Danielle Glessing | Registered Nurse | 1718 E Kessler Blvd, Longview, WA 98632-1842 | 2015-06-19 |
| 1295130516 | Jonathan Christian Jennings | Physician Assistant | 1718 E Kessler Blvd, Longview, WA 98632-1842 | 2014-10-29 |
| 1457761280 | Christopher Schwartz | Family Medicine | 1718 E Kessler Blvd, Longview, WA 98632-1842 | 2014-05-01 |
| 1134464365 | Melissa Rae Bettes | Nurse Practitioner | 1718 E Kessler Blvd, Longview, WA 98632-1842 | 2012-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891337747 | Sheila R Brinkman | Family Medicine | 203 Ithaca Dr, Longview, TX 75604-0610 | 2019-10-11 |
| 1750816559 | Elizabeth Brouillette | Family Medicine | 1103 Regina St, Longview, TX 75605-1527 | 2017-04-29 |
| 1649416108 | Gregory N Payne, Md, Pa | Family Medicine | 107 Prairie Ln, Longview, TX 75605-7347 | 2009-01-05 |
| 1912167909 | Lewis A Browne Md Pa | Family Medicine | 3204 N 4th St, Longview, TX 75605-5143 | 2008-06-12 |
| 1134206303 | George Kenneth Marshall | Family Medicine | 717 N 4th St, Longview, TX 75601-5438 | 2006-11-01 |
| 1053421586 | Joseph Leslie Davis | Family Medicine | 2807 36th Ave, Longview, WA 98632-5309 | 2006-08-30 |
| 1043224223 | John Layton Wright Jr. | Family Medicine | 802 Medical Dr Ste 401, Longview, TX 75605-5206 | 2006-07-27 |
| 1619997319 | Ramon G. Villafria | Family Medicine | 1107 E. Marshall Ave., Longview, TX 75601 | 2006-07-19 |
| 1790704377 | Lewis A Browne | Family Medicine | 3204 N Fourth St, Longview, TX 75605-5110 | 2006-07-18 |
| 1417924473 | Donald A Pierson | Family Medicine | 805 Medical Circle Dr., Longview, TX 75605 | 2006-03-08 |
| Find all providers in LONGVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.