Individual
OLIVIA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(757) 803-6314
Mailing address
1515 NW 21ST AVE APT 504, PORTLAND, OR 97209-1794
(757) 803-6314
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH61072076
WA
183500000X
Pharmacist
Primary
RPH-0017942
OR
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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