Individual
NICOLE J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
745 NE 122ND AVE, PORTLAND, OR 97230-2001
(502) 252-0241
Mailing address
1221 AHIAHI ST, HONOLULU, HI 96817-2012
(267) 454-3594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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