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SUBIN PARK
NPI 1134849482
Counselor - Mental Health in Vancouver, WA

Active since August 29, 2022
3200 NE 109TH AVE, VANCOUVER, WA 98682(360) 695-1014 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Subin Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUBIN PARK (NPI 1134849482) is an individual mental health provider in Vancouver, Washington, licensed in Washington (CG61352925) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1134849482
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSUBIN PARK
Location Address3200 NE 109TH AVEVancouver, WA 98682-7749
Mailing Address3200 Ne 109th AveVancouver, WA 98682-7749 · (360) 695-1014
Phone(360) 695-1014
Sole ProprietorYes
Enumeration DateAugust 29, 2022
NPPES CertifiedAugust 29, 2022
✔ NPI 1134849482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · CG61352925
3200 NE 109TH AVE, Vancouver, WA 98682
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN SUE MAYNE
Counselor (Mental Health)
3200 NE 109TH AVE
VANCOUVER, WA 98682
Clark County (360) 695-1014
BERIT RENFRO
Social Worker (Clinical)
3200 NE 109TH AVE
VANCOUVER, WA 98682
Clark County (360) 695-1014
KAITLYN FULLER
Counselor (Mental Health)
3200 NE 109TH AVE
VANCOUVER, WA 98682
Clark County (360) 695-1014
JEOVANNY REFUERZO
Counselor
3200 NE 109TH AVE
VANCOUVER, WA 98682
Clark County (360) 695-1014
MARIANNE FREEBORN
Social Worker
3200 NE 109TH AVE
VANCOUVER, WA 98682
Clark County (360) 695-1014
HALI MCCOY LMFT, CMHS
Marriage & Family Therapist
3200 NE 109TH AVE
VANCOUVER, WA 98682
Clark County (360) 695-1014
BRITTNEY TAISACAN-VILANTE
Counselor
3200 NE 109TH AVE
VANCOUVER, WA 98682
Clark County (360) 695-1014
KAROLYN GRACE HATCH
Counselor
3200 NE 109TH AVE
VANCOUVER, WA 98682
Clark County (360) 695-1014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Subin Park's NPI number?

The NPI number for Subin Park is 1134849482. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Subin Park located?

Subin Park practices at 3200 NE 109th Ave, Vancouver, WA 98682. The listed phone number is (360) 695-1014.

What is Subin Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Subin Park was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.