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1629688775
PETER SOO-HWAN KIM
LAKE OSWEGO, OR
NPI
1629688775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-08-04
Last Update Date
2021-02-09
Business Address
PETER SOO-HWAN KIM
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035-2556
Phone number: 503-850-9940
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Mailing Address
PETER SOO-HWAN KIM
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035-2556
Phone number: 503-850-9940
Copy
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