Dr JONATHON L PARK is a male medical professional, specializing in Family Medicine. He graduated in 1994.
NORTH BEND MEDICAL CENTER INC
110 E 10TH ST
BANDON
OR
974119157
Tel: 5413963111
| Npi | 1588649289 |
| Pac Id | 7911048954 |
| Professional Enrollment Id | I20100112000789 |
| Last Name | PARK |
| First Name | JONATHON |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | NORTH BEND MEDICAL CENTER INC |
| Group Practice Pac Id | 5597677716 |
| Number Of Group Practice Members | 93 |
| Line 1 Street Address | 110 E 10TH ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BANDON |
| State | OR |
| Zip Code | 974119157 |
| Phone Number | 5413963111 |
| Hospital Affiliation Ccn 1 | 381304 |
| Hospital Affiliation Lbn 1 | SOUTHERN COOS HOSPITAL & HEALTH CENTER |
| Hospital Affiliation Ccn 2 | 380090 |
| Hospital Affiliation Lbn 2 | BAY AREA HOSPITAL |
| Hospital Affiliation Ccn 3 | 381322 |
| Hospital Affiliation Lbn 3 | CURRY GENERAL HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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