Individual
JULEE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
11740 SW 68TH PKWY STE 200, PORTLAND, OR 97223-9058
(971) 352-6971
Mailing address
1901 ESTHER ST, NEWBERG, OR 97132-9529
(503) 554-7925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
201141413RN
OR
163W00000X
Registered Nurse
851920
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201701615NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95002868
CA
Other
Enumeration date
07/22/2011
Last updated
03/05/2024
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