Doctor profile · Federal record
Dr. Douglas Park, DDS
Pediatric Dentist · Gresham, OR
- NPI 1366521122
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1201 Se 223Rd Ave, Suite 240
Gresham, OR 97030
(503) 666-9800
fax (503) 666-6787 - Mailing address
-
34116 Se Carpenter Ln
Gresham, OR 97080
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223P0221X — NUCC code
- State license (1)
- Oregon #D6620
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366521122. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$178
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Hu-Friedy Mfg. Co., LLC | 1 | $111.51 | |
| Solventum Corporation | 1 | $51.18 | |
| Elevate Oral Care | 1 | $15.38 |
By nature of payment
Frequently asked questions
What is Dr. Douglas Park's medical specialty?
Dr. Douglas Park practices Pediatric Dentist in Gresham, OR.
Where does Dr. Douglas Park practice?
Dr. Douglas Park practices at 1201 Se 223Rd Ave, Gresham, OR 97030. Office phone: 5036669800.
What is Dr. Douglas Park's NPI?
Dr. Douglas Park's National Provider Identifier (NPI) is 1366521122, issued by NPPES.