Active NPI
Won Ho Park, LAC
- Massage Therapist
- Edmonds, WA
National Provider Identifier
1902920150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00003764
- Practice address
- 7935 216TH St SW
Suite E
Edmonds, WA 98026 - Phone
- (425) 773-9010
- Fax
- (425) 776-8873
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00000071 | WA | |
| Massage Therapist | 225700000X | MA00003764 | WA | Primary |
Addresses
Primary practice location
7935 216TH St SW
Suite E
Edmonds, WA 98026
Mailing address
7935 216TH St SW
Suite E
Edmonds, WA 98026
Phone (425) 773-9010
Other names 1
- Won Ho Park
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00000071 | WA | MD | Acupuncturist |
| MA00003764 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1902920150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7935 216TH ST SW",
"address_2": "SUITE E",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-773-9010",
"fax_number": "425-776-8873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7935 216TH ST SW",
"address_2": "SUITE E",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-773-9010",
"fax_number": "425-776-8873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "WON",
"middle_name": "HO",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00000071",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00003764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WON",
"last_name": "PARK",
"middle_name": "HO",
"credential": "LMP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.