Individual
SOOYEON SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
4410 SE 82ND AVE STE 2050, PORTLAND, OR 97266-2955
(503) 771-0081
(503) 772-2272
Mailing address
4410 SE 82ND AVE STE 2050, PORTLAND, OR 97266-2955
(503) 771-0081
(503) 772-2272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10290
OR
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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