KALIS J KIM

VANCOUVER, WA
NPI1265088157
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60976791)
Enumeration Date2019-08-15
Last Update Date2019-10-01
Business Address
Mrs. KALIS J KIM NP
501 SE 172ND AVE
VANCOUVER, WA 98684-9542
Phone number: 360-882-2778
Mailing Address
Mrs. KALIS J KIM NP
PO BOX 4825
PORTLAND, OR 97208-4825
Phone number: 360-882-2778
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