Organization
IMPACT CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAM KIM D.C. (PRESIDENT)
(360) 521-5576
Entity
Organization
Contact information
Practice address
18206 SE STARK ST, PORTLAND, OR 97233-4863
(360) 521-5576
Mailing address
12535 SE 131ST CT, HAPPY VALLEY, OR 97086-1684
(360) 521-5576
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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