DR. LISA WYSONG PARK (NPI# 1487770715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487770715 |
| Entity Type | Individual |
| Full Name | DR. LISA WYSONG PARK |
| Other Name | LISA HWA PARK |
| Credential | DDS |
| Practice Address |
3601 Fremont Ave N 316 Seattle WA 98103 |
| Mailing Address |
3601 Fremont Ave N #316 Seattle WA 98103 |
| Practice Telephone | 2066750366 |
| Practice Fax Number | 2066750466 |
| Mailing Telephone | 2066750366 |
| Mailing Fax Number | 2066750466 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00006876 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837129 | Lisa Marie Park | Occupational Therapist | 4960 W Argyle St Apt 2, Chicago, IL 60630-4888 | 2020-10-05 |
| 1447866132 | Lisa Yoensil Yoon Park | Nurse Practitioner | 9204 Esperanza, Irvine, CA 92618-1749 | 2020-09-18 |
| 1356763601 | Lisa Jones Park | Behavioral Analyst | 1510 Sunflower Dr, Missoula, MT 59802-3306 | 2014-01-06 |
| 1972130938 | Lisa Kyoun Park | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2190 | 2020-03-26 |
| 1225549082 | Lisa S. Park | Nurse Practitioner | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2017-10-19 |
| 1568857142 | Lisa Park | Surgery | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2015-04-01 |
| 1134484785 | Lisa Park | Optometrist | 3333 Buford Dr, Suite 1030, Buford, GA 30519-4913 | 2012-07-10 |
| 1881950533 | Lisa M Park | Nurse Practitioner | 11729 Roe Ave, Leawood, KS 66211-2605 | 2012-04-06 |
| 1699982868 | Lisa L Park | Pediatrics | 4400 University Dr, Student Union Building 1, Room 2300, Fairfax, VA 22030-4422 | 2007-05-17 |
| 1619189115 | Lisa Zito Park | Physical Therapist | 110 Elecia Ln, Foley, AL 36535-8970 | 2007-05-04 |
| Street Address |
3601 FREMONT AVE N 316 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073670121 | Wendy Leigh Sobol | Massage Therapist | 3601 Fremont Ave N, #309, Seattle, WA 98103-2709 | 2007-01-01 |
| 1982189825 | Madeline Young | Massage Therapist | 3601 Fremont Ave N, Seattle, WA 98103-2709 | 2018-09-26 |
| 1215472303 | Jessica Chase Buttice | Massage Therapist | 3601 Fremont Ave N, Suite 412, Seattle, WA 98103-2709 | 2016-12-27 |
| 1295104719 | Pacific Northwest Psychology Services, LLC | Clinic/Center | 3601 Fremont Ave N, Suite 412, Seattle, WA 98103-2709 | 2015-09-15 |
| 1972915601 | Jaclyn Durant Hahn | Physical Therapist | 3601 Fremont Ave N, Suite 216, Seattle, WA 98103 | 2014-05-29 |
| 1356763494 | Aaron Bullington | Acupuncturist | 3601 Fremont Ave N, Suite 412, Seattle, WA 98103-2709 | 2014-01-08 |
| 1346686839 | Andrea Genevieve Beckwith | Acupuncturist | 3601 Fremont Ave N, Suite 412, Seattle, WA 98103-2709 | 2013-05-11 |
| 1407001647 | Lisa Park Dds & Simone Kim Dds | Dentist | 3601 Fremont Ave N, Suite 316, Seattle, WA 98103-2709 | 2008-12-01 |
| 1073781894 | Martin Cahn Md Ps | Family Medicine | 3601 Fremont Ave N, Ste 309, Seattle, WA 98103-8753 | 2008-02-14 |
| 1518089234 | Simone W H Kim | Dentist | 3601 Fremont Ave N, #316, Seattle, WA 98103 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| Find all providers in zip 98103 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1073138558 | Mijin Choi | Dentist | 285 8th Ave N Apt 204, Seattle, WA 98109-5173 | 2020-06-10 |
| 1578020632 | Abu & Del Rosario, Pllc | Dentist | 1220 Howell St Ste 110, Seattle, WA 98101-1407 | 2019-02-25 |
| 1649755505 | William Lowrey | Dentist | 836 Ne 67th St Apt 712, Seattle, WA 98115-5882 | 2018-09-26 |
| 1215419809 | Gregory Arlen Maggass Jr. | Dentist | 4222 7th Ave Ne Apt 8, Seattle, WA 98105-6086 | 2018-08-30 |
| 1295214757 | Suzanne S Hall | Dentist | 515 N 138th St, Seattle, WA 98133-7420 | 2018-08-07 |
| 1871088195 | Hanbit Chi, Dds, Ps | Dentist | 1331 Harbor Ave Sw Ste 100, Seattle, WA 98116-1776 | 2018-06-28 |
| Find all providers in SEATTLE | ||||
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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.