Individual
ALLEN JI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3978 N WILLIAMS AVE, PORTLAND, OR 97227-1445
(503) 493-7070
Mailing address
3978 N WILLIAMS AVE, PORTLAND, OR 97227-1445
(503) 493-7070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3509ATI
OR
Other
Enumeration date
04/19/2012
Last updated
06/23/2014
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