| NPI | 1962069062 |
|---|---|
| Doing Business As | KIMMI CLINIC |
| Entity Type | Organization |
| Authorized Contact | HELEN PAK Clinic Director 503-641-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |