Individual
MS. JIN AH RENEE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12655 SW CENTER ST, SUITE # 470, BEAVERTON, OR 97005-1600
(971) 808-8226
Mailing address
PO BOX 19737, PORTLAND, OR 97280
(971) 808-8226
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
OR
1041C0700X
Clinical Social Worker
Primary
—
OR
Other
Enumeration date
04/02/2007
Last updated
09/07/2016
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