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

Dr. Song Youn Park, MD

Individual provider Dermatology Physician · NPI 1376173328

Dr. Song Youn Park, MD is a Dermatology in Seattle, Washington. Qualified in 2010, 16 years ago. Practices with The Association of University Physicians, a 3,459-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
16
Licensed in
WA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4225 Roosevelt Way NE Fl 4
Seattle, WA 98105-6099
Phone: (206) 543-5290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 61010637 (WA)

Record details

NPI number1376173328
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 17, 2020
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice The Association Of University Physicians — 3459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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