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

Paul Park

Individual provider Family Medicine Physician · NPI 1316180037

Paul Park is a Family Medicine Physician in Kent, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts and Washington.

Licensed in
MA, WA
In the registry since
2009
Specialties on file
3

Practice location Address checks out

219 State Ave N Ste 100
Kent, WA 98030-4543
Phone: (253) 372-3602
Show map & directions

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

Additional practice locations (1)

  • Box 3951 Or Trent Drive - Dumc, Durham, NC 27710 — (317) 590-7231

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD61225125 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD61225125 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 254635 (MA)

Record details

NPI number1316180037
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 10, 2009
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address955 Powell Ave Sw, Renton, WA 98057-2908

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