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

Mary Park, MD

Individual provider Obstetrics Physician · NPI 1609161330

Mary Park, MD is an Obstetrics/Gynecology in Port Angeles, Washington. Qualified in 2011, 15 years ago. Practices with Multicare Health System, a 2,302-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Washington.

Years since qualifying
15
Licensed in
NY, WA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

939 Caroline St # 3E
Port Angeles, WA 98362-3909
Phone: (360) 565-0599
Fax: (360) 452-7303
Show map & directions

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

Additional practice locations (1)

  • 2900 E 136th Ave Ste 100, Thornton, CO 80241-3542 — (303) 999-3950

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD61579915 (WA)
Obstetrics Physician Taxonomy 207VX0000X · Licence 280368 (NY)

Record details

NPI number1609161330
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2011
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing addressPo Box 850, Port Angeles, WA 98362-0146

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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