Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114270162 Individual Practitioner Female Practitioner

Jisun Park

Speech-Language Pathologist • Shoreline, WA

Professional Overview & Biography Verified Profile Summary

Jisun Park is a registered healthcare professional specializing in Speech-Language Pathologist in Shoreline, WA. Practice services are available at 816 NE 190TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

816 Ne 190th St

Shoreline, WA 981552249

Telephone 2063643777
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Shoreline, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
31 Specialists

Practicing in Shoreline, WA (4167 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA LL60299415

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Olivia Ponzetti

Speech-Language Pathologist

NPI 1023998937
Maria Gmuca , MOT

Occupational Therapist

NPI 1083246342

Master of Occupational Therapy

Kristi Marion

Speech-Language Pathologist

NPI 1093918765
Christina Williams

Speech-Language Pathologist

NPI 1144051905
Gali Visoker

Occupational Therapist

NPI 1205043759
Holly Schroepfer , OT

Occupational Therapist

NPI 1225595242

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2012

Registered at 816 NE 190TH ST, SHORELINE, WA 981552249 (Tel: 2063643777)

📍
Updated Business Mailing Address October 16, 2012

Registered at PO BOX 55399, SHORELINE, WA 981550399 (Tel: 2063643777)

👤
Provider Name / Credentials Updated October 16, 2012

Recorded as JISUN PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2012

Speech-Language Pathologist (License #LL60299415 in WA)

🟢
Initial NPI Registration & Enumeration October 15, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114270162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2012
Last Update: October 16, 2012
Sole Proprietor: Yes

Mailing Address

Po Box 55399

Shoreline, WA 981550399

Phone: 2063643777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.