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

Dr. Tae Soon Park, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1528226263

Dr. Tae Soon Park, DPM is a Podiatry in Bellevue, Washington. Graduated from New York College of Podiatric Medicine in 2008, 18 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
18
Trained at
New York College of Podiatric Medicine
Licensed in
CA, WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2950 Northup Way Ste 115
Bellevue, WA 98004-1406
Phone: (425) 893-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO 60234756 (WA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence E4895 (CA)

Record details

NPI number1528226263
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 29, 2008
Last updated in NPPESMarch 9, 2015
Mailing address1408 Sw 170th St, Normandy Park, WA 98166-3448

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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