MEDICARE: HYUNG UK PARK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	MD00044962	WA
2	207RP1001X	Pulmonary Disease Physician	W3023	TX
3	2084P0800X	Psychiatry Physician	MD00044962	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023044187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HYUNG UK PARK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 421
Second Line	:
City	:	LIBERTY LAKE
State	:	WA
Zip	:	99019-0421
Country	:	US
Telephone Number	:	866-747-2455
Fax Number	:

Provider Business Practice Location Address
First Line	:	9631 N NEVADA ST STE 300
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1193
Country	:	US
Telephone Number	:	509-465-3919
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	01/05/2026

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Directions to “ HYUNG UK PARK M.D.” Practice Location

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