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

Individual provider Speech-Language Pathologist · NPI 1114270162

Mrs. Jisun Park is a Speech-Language Pathologist in Shoreline, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2012
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Practice location Address checks out

816 NE 190th St
Shoreline, WA 98155-2249
Phone: (206) 364-3777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence LL60299415 (WA)

Record details

NPI number1114270162
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 15, 2012
Last updated in NPPESOctober 16, 2012

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