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

Lydia S. Park, DO

Individual provider Internal Medicine Physician · NPI 1871886531

Lydia S. Park, DO is an Internal Medicine in Vancouver, Washington. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2011, 15 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Washington.

Years since qualifying
15
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY, WA
In the registry since
2011
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2529 NE 139th St Ste 110
Vancouver, WA 98686-2719
Phone: (360) 882-2778
Show map & directions

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

Additional practice locations (1)

  • 1200 Route 300, Newburgh, NY 12550-5003 — (845) 703-6999

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OP61202686 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 278095 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 278095 (NY)

Record details

NPI number1871886531
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 27, 2011
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023
Mailing addressPo Box 4825, Portland, OR 97208-4825

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2011 (15 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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