Dr Kye Soo Park, MD | |
700 Ne 87th Ave, Vancouver, WA 98664-1913 | |
(360) 397-3370 | |
(360) 604-1749 |
Full Name | Dr Kye Soo Park |
---|---|
Gender | Male |
Speciality | Rheumatology |
Experience | 20 Years |
Location | 700 Ne 87th Ave, Vancouver, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043359037 | NPI | - | NPPES |
0262973 | Other | WA | L & I |
1043359037 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2004-0437 (New Mexico) | Secondary |
207RR0500X | Internal Medicine - Rheumatology | MD60145123 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth St John Medical Center | Longview, WA | Hospital |
Ocean Beach Hospital | Ilwaco, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Vancouver Clinic Inc Ps | 3173436490 | 471 |
Entity Name | The Vancouver Clinic Inc Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
Mailing Address | Practice Location Address |
---|---|
Dr Kye Soo Park, MD 700 Ne 87th Ave, Vancouver, WA 98664-1913 Ph: (360) 397-3370 | Dr Kye Soo Park, MD 700 Ne 87th Ave, Vancouver, WA 98664-1913 Ph: (360) 397-3370 |
Kanuboddu Nagarjuna Reddy, Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave Ste 220, Vancouver, WA 98664 Phone: 360-882-2778 | |
Dr. David Steiger, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 505 Ne 87th Ave Ste 301, Vancouver, WA 98664 Phone: 360-514-7374 Fax: 360-514-7384 | |
Phillip M Cullison Bonner, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1000 | |
Louise M Schultz, DO Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 | |
Marissa Krienke, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave Ste And240, Vancouver, WA 98664 Phone: 360-882-2778 | |
Joel David Mclarry, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Suite 210, Vancouver, WA 98664 Phone: 360-882-2778 | |
Dr. Samuel Everett George, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 19005 Se 34th St Bldg 3, Vancouver, WA 98683 Phone: 360-726-6720 Fax: 360-726-6729 |