Mr Jason Ki Park, MSW | |
104 W Meeker Ste B, Puyallup, WA 98371-8901 | |
(206) 992-2304 | |
Not Available |
Full Name | Mr Jason Ki Park |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 104 W Meeker Ste B, Puyallup, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639674963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Washington) | Primary |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Mr Jason Ki Park, MSW 104 W Meeker Ste B, Puyallup, WA 98371-8901 Ph: (206) 992-2304 | Mr Jason Ki Park, MSW 104 W Meeker Ste B, Puyallup, WA 98371-8901 Ph: (206) 992-2304 |
Eric J Lundstrom, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12515 Meridian E Ste 204, Puyallup, WA 98373 Phone: 206-940-3543 Fax: 253-770-4990 | |
Candice Eli, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 324 S Meridian, Puyallup, WA 98371 Phone: 253-310-1295 | |
Patrice Bruner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 39th Ave Se, Puyallup, WA 98374 Phone: 253-435-3100 | |
Lauren Brown, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14426 119th Avenue Ct E, Puyallup, WA 98374 Phone: 253-736-4738 | |
Makayla Mason, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16410 96th Avenue Ct E, Puyallup, WA 98375 Phone: 253-355-6812 | |
Sandi Molina Willden, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 325 E Pioneer, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-3730 | |
Ms. Tamara Kristin Pietzke, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 325 E Pioneer, Puyallup, WA 98372 Phone: 253-697-8400 |