Individual
DR. LANA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
615 S PALATINE HILL RD, PORTLAND, OR 97219-8091
(229) 460-2019
Mailing address
615 S PALATINE HILL RD, PORTLAND, OR 97219-8091
(229) 460-2019
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1237
OR
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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