Individual
KEVIN JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2630 SE PINE ST, PORTLAND, OR 97214-1738
(503) 656-0367
Mailing address
2630 SE PINE ST, PORTLAND, OR 97214-1738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61346
OR
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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