ELLY JIN KIM

PORTLAND, OR
NPI1740006873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H8490)
Enumeration Date2024-11-22
Last Update Date2024-11-22
Business Address
ELLY JIN KIM RDH
5025 SE 28TH AVE
PORTLAND, OR 97202-4445
Phone number: 800-813-2000
Mailing Address
ELLY JIN KIM RDH
17483 SE PINNACLES ST
DAMASCUS, OR 97089-5639
Phone number:
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