IndividualActive
Peter Park, D.O.
NPI 1831650043 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Olympia, WA
Provider details
- NPI number
- 1831650043
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 2023000432 (MO)
Specialties & taxonomies
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081P2900XLicense OP61483972 (WA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Student, Health Care
Practice location
3909 9th Ave Sw
Olympia, WA 98502-5134
Phone: (360) 570-3460
Approximate (ZIP-level) locationGet directions
Mailing address
3909 9th Ave Sw
Olympia, WA 98502-5134
Registry dates
- Enumerated
- 2019-03-29
- Last updated
- 2024-06-24
- Certified
- 2024-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.