Individual
MRS. KIM CHING FILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1305 NE FREMONT ST, PORTLAND, OR 97212-2218
(971) 570-7624
Mailing address
12711 NE 46TH ST, VANCOUVER, WA 98682-6402
(971) 570-7624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4168
OR
Other
Enumeration date
06/20/2009
Last updated
06/20/2009
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