IndividualActive
Andrew Park, D.P.M.
NPI 1124400858 · Foot & Ankle Surgery Podiatrist · Covington, WA
Provider details
- NPI number
- 1124400858
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PO60788616 (WA)
Practice location
27500 168th Pl Se
Covington, WA 98042-5563
Phone: (425) 690-3430
Fax: (425) 690-9430
Mailing address
1660 S Columbian Way # 112-Pod
Seattle, WA 98108-1532
Registry dates
- Enumerated
- 2015-06-18
- Last updated
- 2022-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.