Mrs Jisun Park, in Shoreline, WA - Speech-Language Pathologist

Mrs Jisun Park, is a Speech-language Pathologist based in Shoreline, Washington. Mrs Jisun Park is licensed to practice in Washington (license number LL60299415) and her current practice location is 816 Ne 190th St, Shoreline, Washington. She can be reached at her office (for appointments etc.) via phone at (206) 364-3777.

NPI number for Mrs Jisun Park is 1114270162 and her current mailing address is Po Box 55399, Shoreline, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114270162.

Contact Information

	Mrs Jisun Park,
	816 Ne 190th St, Shoreline, WA 98155-2249
	(206) 364-3777
	Not Available

Healthcare Provider's Profile

Full Name	Mrs Jisun Park
Gender	Female
Speciality	Speech-language Pathologist
Location	816 Ne 190th St, Shoreline, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1114270162
Provider Enumeration Date: 10/15/2012
Last Update Date: 10/16/2012

Medical Identifiers

Medical identifiers for Mrs Jisun Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114270162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	LL60299415 (Washington)	Primary

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. Mrs Jisun 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 Address	Practice Location Address
Mrs Jisun Park, Po Box 55399, Shoreline, WA 98155-0399 Ph: (206) 364-3777	Mrs Jisun Park, 816 Ne 190th St, Shoreline, WA 98155-2249 Ph: (206) 364-3777

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Speech-Language Pathologist in Shoreline, WA

Kristi Jill Marion, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2402 Nw 195th Pl, Shoreline, WA 98177 Phone: 206-364-3777 Fax: 206-364-3999
April Grace Lagutang Lloyd, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2818 Ne 145th St, Shoreline, WA 98155 Phone: 206-418-2900
Lisa J Vanhorne, MSCCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 340 Nw 177th St, Shoreline, WA 98177 Phone: 206-546-5012
Sarah Burt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2402 Nw 195th Pl, Shoreline, WA 98177 Phone: 206-364-3777 Fax: 206-364-3999
Francesca Blasen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2402 Nw 195th Pl, Shoreline, WA 98177 Phone: 206-364-3777 Fax: 206-364-3999
Andrea Ryan, MACCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16357 Aurora Ave N, Shoreline, WA 98133 Phone: 206-542-3103 Fax: 206-542-4813

Mrs Jisun Park, - Speech-Language Pathologist in Shoreline, WA