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

Jesse Park

Individual provider Case Manager/Care Coordinator · NPI 1407502107

Jesse Park is a Case Manager/Care Coordinator in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2022.

Licensed in
WA
In the registry since
2022

Practice location Address checks out

610 S Yakima Ave
Tacoma, WA 98405-4851
Phone: (253) 396-5823
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (WA)

Record details

NPI number1407502107
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 22, 2022
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022
Mailing address605 10th Ave, Milton, WA 98354-8832

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