Individual
DR. JANE JEEYOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
14425 SW ALLEN BLVD # 1, BEAVERTON, OR 97005-4402
(503) 644-1126
Mailing address
4568 SW 160TH AVE APT F, BEAVERTON, OR 97078-8804
(503) 332-7791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11360
OR
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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