Christopher Park

MD | Pediatric Hematology-Oncology | Male

---

Complete Profile:

Christopher Park basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Christopher Park
Credential :	MD
Gender :	Male

Business Address:

Christopher Park address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3181 Sw Sam Jackson Park Rd Portland, OR, 97239-3011 United States
Phone Number :	503-418-5150
Fax Number :	503-418-5165

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1558776062
NPI Entity Type :	Individual
First Enrolment Date :	23 Jun, 2014
Last Updated On :	10 Aug, 2022

Medicare Participation:

Christopher Park participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4486874831
Medicare Enrollment ID :	I20220901001989
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Nebraska College Of Medicine
Graduation Year :	2014
Accepts Medicare?	Yes. Christopher Park accepts medicare insurance.

Group Practice Association:

Christopher Park is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Christopher Park is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Oregon Health And Sciences University/university Medical Group	4880760107	1435	3181 Sw Sam Jackson Park Rd Portland, OR - 972393011 Ph: 5034948311	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Christopher Park are as mentioned. Primary taxonomy code for Christopher Park, MD is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	MD211150	OR
208000000X	Pediatrics	No	2018-00955	NC
208000000X	Pediatrics	No	30041	NE
208000000X	Pediatrics	No	MD211150	OR
2080P0207X	Pediatrics Pediatric Hematology-Oncology	No	MD049177	DC

Other Practice Locations:

Practice Address	City, State	Phone Number
111 MICHIGAN AVE NW, WASHINGTON, DC, 20010-2916 United States	WASHINGTON, DC	202-476-5000

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3181 Sw Sam Jackson Park Rd Portland, OR, 97239-3011 United States
Phone Number :	503-418-5150
Fax Number :	503-418-5165

Business Location:

Patients can refer following map for directions to Christopher Park practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.