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

Joshua Jaeyoon Park

Individual provider General Practice Dentistry · NPI 1497537161

Joshua Jaeyoon Park is a General Practice Dentistry in Tillamook, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

1010 Main Ave
Tillamook, OR 97141-3818
Phone: (503) 842-7788
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D11897 (OR)

Record details

NPI number1497537161
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 18, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address26086 Lugo Dr, Loma Linda, CA 92354-6507

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