IndividualActive
Ken Park, M.D.
NPI 1649436585 · Nephrology Physician · Salem, OR
Provider details
- NPI number
- 1649436585
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD60140050 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2400 Lancaster Dr Ne
Salem, OR 97305-1221
Phone: (503) 361-5400
Approximate (ZIP-level) locationGet directions
Mailing address
2400 Lancaster Dr Ne
Salem, OR 97305-1221
Registry dates
- Enumerated
- 2008-07-30
- Last updated
- 2022-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.