Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Douglas Lee Park, DDS
Pediatric Dentistry in Gresham, OR · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1366521122
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Registry record
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 (503) 666-9800
Fax (503) 666-6787
Enumeration date Nov 3, 2006
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees.
About the DDS credential
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.
Frequently asked questions
What specialty is Douglas Park?
Douglas Park is registered in NPPES with the primary taxonomy of Pediatric Dentistry. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Perry Stevenson Orthodontics and Dentofacial Orthopedics Dentistry · Gresham, OR NPI 1740384460 Daniel Ries General Practice Dentistry · Gresham, OR NPI 1386715910 Kevin Shim General Practice Dentistry · Gresham, OR NPI 1386784437 Daniel J Ries, Dmd, PC Dental Clinic/Center · Gresham, OR NPI 1871768853 Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC Oral and Maxillofacial Surgery (Dentist) · Gresham, OR NPI 1902100316 Cascade Vision Center Inc. Optometrist · Gresham, OR NPI 1518302918
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.