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

Jay Sungjae Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821797366

Jay Sungjae Park is a Student in an Organized Health Care Education/Training Program in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1959 NE Pacific St
Seattle, WA 98195-0001
Phone: (415) 489-0499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence DR61425062 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821797366
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 23, 2023
Last updated in NPPESJuly 1, 2023
Certification dateJuly 1, 2023

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