Individual
KIMBERLY DE JESUS ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3653 SE 34TH AVE, PORTLAND, OR 97202-3034
(503) 988-5558
Mailing address
436 NE STAFFORD ST UNIT 9, PORTLAND, OR 97211-2863
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H9140
OR
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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