KEN JONGHO PARK


Address: 2400 Lancaster Dr Ne, Salem, OR 97305-1221
Phone: 5033615400

KEN JONGHO PARK (NPI# 1649436585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649436585
Entity Type Individual
Full Name KEN JONGHO PARK
Credential M.D.
Practice Address 2400 Lancaster Dr Ne
Salem
OR 97305-1221
Practice Telephone 5033615400
Mailing Telephone 5033615400
Enumeration Date 2008-07-30
Last Update Date 2015-08-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RN0300X Internal Medicine
Specialization: Nephrology
MD60140050 WA Allopathic & Osteopathic Physicians
Y 207RN0300X Internal Medicine
Specialization: Nephrology
MD150901 OR Allopathic & Osteopathic Physicians

Other Providers KEN PARK

NPI Name Taxonomy Address Enumeration
1316980295 Ken Park Internal Medicine 8994 Tour Dr Ste 210, Mckinney, TX 75070-2036 2006-06-14
1245214402 Ken H. Park Internal Medicine 1624 Mars Hill Rd Ste B, Watkinsville, GA 30677-4813 2005-12-01

Office Location

Street Address 2400 LANCASTER DR NE
City SALEM
State OR
Zip Code 97305-1221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801834510 Kaiser Foundation Health Plan of The Northwest Pharmacy 2400 Lancaster Dr Ne, Salem, OR 97305-1221 2006-06-03
1629608070 Lisa Renea Carr Dental Assistant 2400 Lancaster Dr Ne, Salem, OR 97305-1221 2020-01-23
1316594989 Marisa Hopkins Social Worker 2400 Lancaster Dr Ne, Salem, OR 97305-1297 2019-08-19
1346715836 Stephen Kuang Pharmacist 2400 Lancaster Dr Ne, Salem, OR 97305-1297 2018-10-10
1679003313 Christina Nguyen Optometrist 2400 Lancaster Dr Ne, Salem, OR 97305 2017-06-15
1114479128 Jocelyn Gran Pharmacist 2400 Lancaster Dr Ne, Salem, OR 97317 2016-10-26
1518419464 Kaiser Foundation Health Plan of The Northwest General Practice 2400 Lancaster Dr Ne, Salem, OR 97305-1221 2016-10-26
1083166029 Alison J Green Nurse Practitioner 2400 Lancaster Dr Ne, Salem, OR 97305-1221 2016-10-25
1588119515 Eloisa Chaudhary Pharmacist 2400 Lancaster Dr Ne, Salem, OR 97305-1221 2016-08-19
1598117269 Nathan Howell Pharmacist 2400 Lancaster Dr Ne, Salem, OR 97305-1221 2016-07-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821639147 Christine Ann Featherstone Social Worker Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 2019-10-08
1962996553 Erin Ann Wakefield Non-emergency Medical Transport (VAN) 2425 Fisher Rd Ne, Salem, OR 97305 2018-06-18
1770002271 Traci L Lee Case Manager/Care Coordinator 3876 Beverly Ave Bldg G, Salem, OR 97305 2017-09-15
1952825762 Matthew Paul Martin Dentist 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 2017-08-02
1043750367 Sherri King Physical Therapy Assistant 4696 Reimann St Ne, Salem, OR 97305 2017-03-06
1760861314 Amara Lenore Peterson Counselor 4347 Sunnyview Rd Ne, Salem, OR 97305 2015-05-28
1720467954 Heather Rose Community Health Worker 4347 Sunnyview Road Ne, Salem, OR 97305 2015-05-20
1588057004 Carmen Heidecke Counselor 4347 Sunnyview Rd. Ne, Salem, OR 97305 2015-03-08
1629476825 Bryan James Greenaway Audiologist 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 2014-12-21
1710300322 Christopher Ryan Counselor 4385 Sunnyview Road Ne, Salem, OR 97305 2014-02-03
Find all providers in zip 97305

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396378717 Northwest Renal Clinic, Inc. Internal Medicine 925 Commercial St Se Ste 110, Salem, OR 97302-4172 2020-02-13
1982662052 Parkland Physician Services Inc Internal Medicine 18 Pelham Rd, Salem, NH 03079-4818 2006-05-01
1992794515 Ana Stankovic Internal Medicine 31 Stiles Rd Ste 2400, Salem, NH 03079 2005-10-17
1649279035 Denis Privalov Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3998 2005-07-18
1326400656 Center for Kidney and Metabolic Disorders Pllc Internal Medicine 31 Stiles Rd Ste 2400, Salem, NH 03079 2016-03-25
1285885160 Hima Bindu Yalamanchili Internal Medicine 1970 Roanoke Blvd, Salem, VA 24153-6404 2008-10-09
1710164587 Andrea R Moore Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3998 2008-01-23
1568668929 Yekaterina Gincherman Internal Medicine 875 Oak St Se, Suite 5070, Salem, OR 97301-3975 2007-06-22
1467672261 Kidney Care Physicians LLC Internal Medicine 875 Oak St Se Ste 5070, Salem, OR 97301-3975 2007-04-26
1902022817 Lance M Dicker Internal Medicine 875 Oak St Se, Ste 5070, Salem, OR 97301-3975 2007-04-18
Find all providers in SALEM

Competitor

Search similar providers

City SALEM
Zip Code 97305

Improve Information

Please comment or provide details below to improve the information on KEN JONGHO PARK.

Dataset Information

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.

Trending Searches