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

Timothy Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457190738

Timothy Park is a Student in an Organized Health Care Education/Training Program in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024

Practice location Address checks out

1959 NE Pacific Street; Box 357134
Seattle, WA 98195-1463
Phone: (215) 285-5142
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence DE61681113 (WA)

Record details

NPI number1457190738
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 24, 2024
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

Other providers in Seattle