Individual
BORA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3441 SE IRONWOOD AVE, HILLSBORO, OR 97123-8543
(503) 332-4420
Mailing address
3441 SE IRONWOOD AVE, HILLSBORO, OR 97123-8543
(503) 332-4420
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6748
OR
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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