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

Min Jung Park

Individual provider Occupational Therapist · NPI 1437538550

Min Jung Park is an Occupational Therapist in Private Practice in Edmonds, Washington. Qualified in 2014, 12 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group and accepts Medicare assignment. Licensed in New York and Washington.

Years since qualifying
12
Licensed in
NY, WA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

7320 216th St SW Ste 320
Edmonds, WA 98026-8006
Phone: (425) 673-3916
Fax: (425) 673-3926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT70040930 (WA)
Occupational Therapist Taxonomy 225X00000X · Licence 019426 (NY)

Record details

NPI number1437538550
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2015
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address7320 216th St Sw Ste 320, Edmonds, WA 98026-8006

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Edmonds