Individual
DR. MIN A KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10535 NE GLISAN ST # 301, PORTLAND, OR 97220-4077
(503) 444-2824
Mailing address
14201 NE 20TH AVE STE B200, VANCOUVER, WA 98686-6412
(360) 571-8181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11125
OR
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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