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DR. NANJIN JASMINE PARK DPM
NPI 1265743090
Podiatrist in Portland, OR

Active since June 26, 2010
5311 SW BAIRD ST, PORTLAND, OR 97219(503) 894-1690 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nanjin Jasmine Park Dpm NPPES

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

DR. NANJIN JASMINE PARK DPM (NPI 1265743090) is an individual podiatrist in Portland, Oregon, licensed in Oregon (DP125843) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1265743090
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. NANJIN JASMINE PARKCredential: DPM
Location Address5311 SW BAIRD STPortland, OR 97219-5023
Mailing Address5311 Sw Baird StPortland, OR 97219-5023 · (503) 894-1690
Phone(503) 894-1690
Sole ProprietorYes
Enumeration DateJune 26, 2010
Last NPPES UpdateJanuary 29, 2013
✔ NPI 1265743090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in OR · DP125843✔ Licensed in WA · PO60075502
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
5311 SW BAIRD ST, Portland, OR 97219
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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 Nanjin Park's NPI number?

The NPI number for Nanjin Park is 1265743090. It was assigned to this individual provider in the NPPES registry on June 26, 2010.

Where is Nanjin Park located?

Nanjin Park practices at 5311 SW Baird St, Portland, OR 97219. The listed phone number is (503) 894-1690.

What is Nanjin Park's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Nanjin Park was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.