Individual
SOHYON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-8921
Mailing address
836 S CURRY ST UNIT 306, PORTLAND, OR 97239-4754
(765) 237-8528
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D10609
OR
Other
Enumeration date
09/08/2014
Last updated
07/12/2022
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