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JOHN J PARK LLC
NPI 1992584288
Dentist - General Practice in Portland, OR

Active since September 26, 2023
2100 NE BROADWAY ST, PORTLAND, OR 97232(503) 284-2893(503) 287-2016 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John J Park Llc NPPES

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

JOHN J PARK LLC (NPI 1992584288), doing business as Ne Portland Dental, is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since September 2023. The organization lists John Joontae Park, Dentist, Owner, as its authorized official.

NPPES Registry Identity

NPI1992584288
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOHN J PARK LLC
Location Address2100 NE BROADWAY STPortland, OR 97232
Mailing Address12421 Se Voyageurs LpHappy Valley, OR 97086 · (503) 348-3207
Phone(503) 284-2893
Fax(503) 287-2016
Organization SubpartYes
Authorized OfficialJohn Joontae ParkDentist, Owner · (503) 348-3207
Enumeration DateSeptember 26, 2023
✔ NPI 1992584288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2100 NE BROADWAY ST, Portland, OR 97232
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Other Names 1

Doing Business AsNe Portland Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

HALEOLA CHIROPRACTIC INC
Chiropractor
2100 NE BROADWAY ST, SUITE 125
PORTLAND, OR 97232
Multnomah County (503) 477-8222
OPEN CHIROPRACTIC LLC
Chiropractor
2100 NE BROADWAY ST, STE 225
PORTLAND, OR 97232
Multnomah County (503) 222-3000
DR. JOSHUA PALOMA D.C.
Chiropractor
2100 NE BROADWAY ST, SUITE 125
PORTLAND, OR 97232
Multnomah County (503) 477-8222
SEDA ELIAM KOLBJORN LMT
Massage Therapist
2100 NE BROADWAY ST, SUITE 225
PORTLAND, OR 97232
Multnomah County (503) 719-5000
MS. MARY THORNBURG KRUG MS, LPC
Counselor
2100 NE BROADWAY ST, SUITE 101
PORTLAND, OR 97232
Multnomah County (503) 449-9729
MS. LISA MARIE OBRIEN MS, LPC
Counselor (Professional)
2100 NE BROADWAY ST, SUITE 323
PORTLAND, OR 97232
Multnomah County (503) 915-1082
LORRAINE MICHELE HENRIQUES H.I.S.
Hearing Instrument Specialist
2100 NE BROADWAY ST, STE. 305
PORTLAND, OR 97232
Multnomah County (503) 236-3368
JAMIE OLLER LMT
Midwife, Lay
2100 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (785) 331-9897

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 John J Park LLC's NPI number?

The NPI number for John J Park LLC is 1992584288. It was assigned to this organization in the NPPES registry on September 26, 2023. The provider is doing business as NE Portland Dental.

Where is John J Park LLC located?

John J Park LLC is located at 2100 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 284-2893.

What is John J Park LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for John J Park LLC was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.