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JERRY W. PARK D.O.
NPI 1245337153
Family Medicine in Spokane, WA

Active since September 20, 2006
9222 N NEWPORT HWY, STE 1, SPOKANE, WA 99218(509) 467-4545(509) 467-2304 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry W. Park D.o. NPPES

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

JERRY W. PARK D.O. (NPI 1245337153) is an individual family medicine provider in Spokane, Washington, licensed in Washington (OP00001729) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1245337153
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJERRY W. PARKCredential: D.O.
Location Address9222 N NEWPORT HWY, STE 1Spokane, WA 99218-1235
Mailing Address7511 N Panorama DrSpokane, WA 99208-8431 · (509) 466-3089
Phone(509) 467-4545
Fax(509) 467-2304
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245337153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · OP00001729
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9222 N NEWPORT HWY, Spokane, WA 99218
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Other Identifiers 3

Other0151371WA · Labor And Industries Numb
Medicare UPINC43877WA
OtherOP00001729WA · State License Number

Other Providers at the Same Location NPPES 2

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

JOHN STEPHEN NALL MD
Family Medicine
9222 N NEWPORT HWY, SUITE 1
SPOKANE, WA 99218
Spokane County (509) 467-4545
U.S. HEALTHWORKS MEDICAL GROUP OF WASHINGTON, PS
Clinic/Center (Urgent Care)
9222 N NEWPORT HWY, SUITE 1
SPOKANE, WA 99218
Spokane County (509) 467-4545

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 Jerry Park's NPI number?

The NPI number for Jerry Park is 1245337153. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Jerry Park located?

Jerry Park practices at 9222 N Newport Hwy Ste 1, Spokane, WA 99218. The listed phone number is (509) 467-4545.

What is Jerry Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jerry Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.