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Individual

GINA KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7711
Mailing address
7021 SW 2ND AVE, PORTLAND, OR 97219-2204

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019804
OR

Other

Enumeration date
10/02/2025
Last updated
10/02/2025
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