Individual
RACHEL HAESU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9151 SE WOODSTOCK BLVD, PORTLAND, OR 97266-5369
(503) 433-2414
Mailing address
14169 SE APPLE CT, HAPPY VALLEY, OR 97086-3307
(503) 680-5686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11673
OR
Other
Enumeration date
08/05/2022
Last updated
11/07/2024
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