Organization
KIM'S WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BOLDRINI-SENN LAC (OWNER)
(917) 456-6385
Entity
Organization
Contact information
Practice address
917 SW OAK ST, PORTLAND, OR 97205
(917) 456-6385
(844) 401-8624
Mailing address
1011 NE HANCOCK ST, PORTLAND, OR 97212
(917) 456-6385
(844) 401-8624
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
165166
OR
Other
Enumeration date
11/02/2015
Last updated
01/25/2017
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