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

Seo Young Park

Individual provider Ambulatory Care Registered Nurse · NPI 1407716988

Seo Young Park is an Ambulatory Care Registered Nurse in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

12667 NW Milazzo Ln
Portland, OR 97229-9365
Phone: (503) 927-3662
Show map & directions

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

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence 10009455 (OR)

Record details

NPI number1407716988
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing address12667 Nw Milazzo Ln, Portland, OR 97229-9365

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