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1104483833
HALEY KIM
PORTLAND, OR
NPI
1104483833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR ATI4521)
Enumeration Date
2019-05-29
Last Update Date
2024-05-22
Business Address
HALEY KIM OD
4880 NE 104TH AVE
PORTLAND, OR 97220-3348
Phone number: 503-432-8452
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Mailing Address
HALEY KIM OD
4880 NE 104TH AVE
PORTLAND, OR 97220-3348
Phone number: 503-432-8452
Copy
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