OrganizationActive
John J Park LLC
NPI 1992584288 · General Practice Dentistry · Portland, OR
John J Park LLC is a General Practice Dentistry organization in Portland, OR (NPI 1992584288).
Provider details
- NPI number
- 1992584288
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- John J Park LLC
- Organization subpart
- Yes
- Authorized official
- John Park, Dentist, Owner(503) 348-3207
Practice location
2100 Ne Broadway St
Portland, OR 97232
Phone: (503) 284-2893
Fax: (503) 287-2016
Street-level locationGet directions
Mailing address
12421 Se Voyageurs Lp
Happy Valley, OR 97086
Registry dates
- Enumerated
- 2023-09-26
- Last updated
- 2023-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.