Individual
YOUNGHEE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPN
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(503) 267-2363
Mailing address
3382 SE 61ST AVE, PORTLAND, OR 97206-2875
(503) 267-2363
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
201805888RN
OR
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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