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SE JONG PARK CST AS-C
NPI 1962671545
Specialist/Technologist, Other - Surgical Assistant in Portland, ME

Active since February 27, 2008
51 ILLSLEY ST, PORTLAND, ME 04103(207) 756-3621(888) 329-6432 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Se Jong Park Cst As-c NPPES

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

SE JONG PARK CST AS-C (NPI 1962671545) is an individual surgical assistant in Portland, Maine and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1962671545
Entity TypeIndividualFemale
Primary Taxonomy246ZC0007X
Provider Legal NameSE JONG PARKCredential: CST AS-C
Location Address51 ILLSLEY STPortland, ME 04103-5110
Mailing Address51 Illsley StPortland, ME 04103-5110 · (207) 756-3621 · Fax (888) 329-6432
Phone(207) 756-3621
Fax(888) 329-6432
Sole ProprietorYes
Enumeration DateFebruary 27, 2008
✔ NPI 1962671545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
51 ILLSLEY ST, Portland, ME 04103
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Other Providers at the Same Location NPPES

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

SEJONGSA
Specialist/Technologist, Other (Surgical Assistant)
51 ILLSLEY ST
PORTLAND, ME 04103
Cumberland County (888) 322-6432

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 Se Jong Park's NPI number?

The NPI number for Se Jong Park is 1962671545. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Where is Se Jong Park located?

Se Jong Park practices at 51 Illsley St, Portland, ME 04103. The listed phone number is (207) 756-3621.

What is Se Jong Park's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Se Jong Park was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.