IndividualActive
Chung-Jae Park, DDS
NPI 1942200050 · Dentist · Sherwood, OR
Provider details
- NPI number
- 1942200050
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D8095 (OR)
Specialties & taxonomies
Dental Providers
Practice location
21035 Sw Pacific Coast Hwy
Ste 100
Sherwood, OR 97140
Phone: (503) 925-1473
Fax: (503) 925-1479
Approximate (ZIP-level) locationGet directions
Mailing address
21035 Sw Pacific Hwy Ste 100
Sherwood, OR 97140-8036
Registry dates
- Enumerated
- 2005-07-29
- Last updated
- 2025-04-01
- Certified
- 2025-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.