Individual
JASON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
110 BEAVERCREEK RD, OREGON CITY, OR 97045-4307
(503) 655-8278
Mailing address
2051 KAEN RD STE 367, OREGON CITY, OR 97045-4035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2014006877
MO
122300000X
Dentist
Primary
D10016
OR
Other
Enumeration date
04/01/2014
Last updated
03/17/2018
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