Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Douglas Lee Park, DDS

Individual provider Pediatric Dentistry · NPI 1366521122

Dr. Douglas Lee Park, DDS is a Pediatric Dentistry in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1201 SE 223rd Ave Ste 240
Gresham, OR 97030
Phone: (503) 666-9800
Fax: (503) 666-6787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D6620 (OR)

Record details

NPI number1366521122
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address34116 Se Carpenter Ln, Gresham, OR 97080

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