Individual
ERIC N KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5018 E BURNSIDE ST, PORTLAND, OR 97215-1151
(503) 231-9995
(503) 231-9087
Mailing address
5018 E BURNSIDE ST, PORTLAND, OR 97215-1151
(503) 231-9995
(503) 231-9087
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60294690
WA
1223G0001X
General Practice Dentistry
Primary
8001
OR
Other
Enumeration date
01/14/2007
Last updated
04/23/2026
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