Individual
YOUNG JIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-6556
Mailing address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-6556
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
20094155ORN
OR
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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