Individual
JIMMY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
632 SW 6TH ST, SUITE 1, REDMOND, OR 97756-2752
(541) 504-5939
Mailing address
632 SW 6TH ST, SUITE 1, REDMOND, OR 97756-2752
(541) 504-5939
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00541
OR
171100000X
Acupuncturist
AC6436
CA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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