| Dr Douglas Lee Park, DDS | |
|
1201 Se 223rd Ave, Suite 240, Gresham, OR 97030 | |
| (503) 666-9800 | |
| (503) 666-6787 |
| Full Name | Dr Douglas Lee Park |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1201 Se 223rd Ave, Gresham, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366521122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D6620 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Lee Park, DDS 34116 Se Carpenter Ln, Gresham, OR 97080 Ph: (503) 663-5162 | Dr Douglas Lee Park, DDS 1201 Se 223rd Ave, Suite 240, Gresham, OR 97030 Ph: (503) 666-9800 |
Ngan Hoang, DMD Dentist Medicare: Medicare Enrolled Practice Location: 670 Nw Eastman Pkwy, Gresham, OR 97030 Phone: 503-822-4406 | |
Frank James Foreman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 387 Ne 223rd Ave, Gresham, OR 97030 Phone: 503-625-2538 | |
Dr. Matthew Vogel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1201 Se 223rd Ave Ste 140, Gresham, OR 97030 Phone: 503-665-8116 | |
Dr. Serena Autumn Waterworth, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 387 Ne 223rd Ave, Gresham, OR 97030 Phone: 503-491-5450 | |
Dr. Tod M Hardin, DMD, PC Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 Ne Hood Ave, Suite 305, Gresham, OR 97030 Phone: 503-666-2196 Fax: 503-492-8798 | |
Dr. Henry Cooke Windell, DMD Dentist Medicare: Medicare Enrolled Practice Location: 24850 Se Stark St, Gresham, OR 97030 Phone: 503-665-7882 Fax: 503-665-6983 | |
Dr. James Robert Anderson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 19059 Se Division St, Gresham, OR 97030 Phone: 503-661-4711 Fax: 503-661-4777 |