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

Dr. Sea Mi Park, MD, PHD

Individual provider Neurology Physician · NPI 1215295563

Dr. Sea Mi Park, MD, PHD is a Neurology in Olympia, Washington. Qualified in 2001, 25 years ago. Practices with Providence Health and Services Washington, a 480-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
25
Licensed in
WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

525 Lilly Rd NE Ste 210
Olympia, WA 98506-5101
Phone: (360) 413-8550
Fax: (360) 413-8827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Neurology Physician (primary) Taxonomy 2084V0102X · Licence MD61640992 (WA)
Neurology Physician Taxonomy 2084N0400X · Licence MD61640992 (WA)

Record details

NPI number1215295563
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedApril 24, 2012
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Providence Health And Services Washington — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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