Dr. Douglas Lee Park, DDS
Dr. Douglas Lee Park is a Pediatric Dentistry provider (Dentist) practicing in Gresham, OR, registered in the NPPES registry with NPI 1366521122 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366521122 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Douglas Lee Park |
| Credential | DDS |
| Sex | Male |
| Practice address | 1201 SE 223RD AVE, SUITE 240, Gresham, OR, 97030 |
| Phone | 5036669800 |
| Fax | 5036666787 |
| Enumeration date | 2006-11-03 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry | Primary | D6620 | OR |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Douglas Park, DDS NPI: 1366521122 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: 1201 SE 223RD AVE, SUITE 240, Gresham, OR, 97030
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740384460 | Perry Stevenson | Individual | Orthodontics and Dentofacial Orthopedics Dentistry | Gresham, OR |
| 1386715910 | Daniel Ries | Individual | General Practice Dentistry | Gresham, OR |
| 1386784437 | Kevin Shim | Individual | General Practice Dentistry | Gresham, OR |
| 1871768853 | Daniel J Ries, Dmd, PC | Organization | Dental Clinic/Center | Gresham, OR |
| 1902100316 | Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC | Organization | Oral and Maxillofacial Surgery (Dentist) | Gresham, OR |
| 1518302918 | Cascade Vision Center Inc. | Organization | Optometrist | Gresham, OR |
Verify this record
Cross-check NPI 1366521122 against the authoritative CMS record: view Dr. Douglas Lee Park on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.