Jae Hyun Park
Jae Hyun Park is a Student in an Organized Health Care Education/Training Program in Lebanon, Oregon. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
200 Mullins DrLebanon, OR 97355-3983
Phone: (541) 259-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1518758630 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2025 |
| Last updated in NPPES | May 16, 2025 |
| Certification date | May 8, 2025 |
| Mailing address | 200 Mullins Dr, Lebanon, OR 97355-3983 |
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Mr. Alan James Perry
200 Mullins Dr, Lebanon, OR 97355-3983 · (541) 259-0200
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Brooke Petersen
200 Mullins Dr, Lebanon, OR 97355-3983 · (541) 259-0235