Kim, Jin Ah Renee

Kim, Jin Ah Renee is an sole proprietor health care provider with primary practice located at 12655 Sw Center St Suite # 470, Beaverton OR 97005-1600. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kim, Jin Ah Renee can be contacted via phone (971) 808-8226.

Contact Information

Primary practice address
12655 Sw Center St Suite # 470 Beaverton OR 97005-1600
Phone: (971) 808-8226
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X Oregon

Profile Details

NPI number 1619098316
LBN Legal business name Kim, Jin Ah Renee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Sep 7th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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