Individual
SEI JIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
742 NE DIVISION ST STE 102, GRESHAM, OR 97030-3979
(503) 667-2442
Mailing address
1730 SW HARBOR WAY, UNIT 405, PORTLAND, OR 97201-5100
(503) 810-4806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11053
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2016
Last updated
06/27/2019
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