Dr Nanjin Jasmine Park, DPM - Podiatrist in Portland, OR

Dr Nanjin Jasmine Park, DPM is a Podiatrist based in Portland, Oregon. Dr Nanjin Jasmine Park is licensed to practice in Oregon (license number DP125843) and her current practice location is 5311 Sw Baird St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 894-1690.

NPI number for Dr Nanjin Jasmine Park is 1265743090 and her current mailing address is 5311 Sw Baird St, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265743090.

Contact Information

Dr Nanjin Jasmine Park, DPM
5311 Sw Baird St,
Portland, OR 97219-5023
(503) 894-1690
Not Available



Healthcare Provider's Profile

Full NameDr Nanjin Jasmine Park
GenderFemale
SpecialityPodiatrist
Location5311 Sw Baird St, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265743090
  • Provider Enumeration Date: 06/26/2010
  • Last Update Date: 01/29/2013

Medical Identifiers

Medical identifiers for Dr Nanjin Jasmine Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265743090NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist DP125843 (Oregon)Primary
213E00000XPodiatrist PO60075502 (Washington)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nanjin Jasmine Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nanjin Jasmine Park, DPM
5311 Sw Baird St,
Portland, OR 97219-5023

Ph: (503) 894-1690
Dr Nanjin Jasmine Park, DPM
5311 Sw Baird St,
Portland, OR 97219-5023

Ph: (503) 894-1690

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› Verified 9 days ago


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