Individual
IVY KIM-AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
500 LILLY RD NE STE 100, OLYMPIA, WA 98506-5195
(360) 413-8525
(360) 412-6477
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61180555
WA
Other
Enumeration date
02/24/2020
Last updated
11/10/2021
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