Individual
EUNSOOK LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4501 N UNIVERSITY AVE, PROVO, UT 84604-5504
(801) 932-2501
Mailing address
PO BOX 3229, PORTLAND, OR 97208-3229
(888) 227-3312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10679786-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
201708231NP-PP
OR
Other
Enumeration date
03/06/2018
Last updated
01/25/2021
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