Kim, Young Jin

Kim, Young Jin is an sole proprietor health care provider with primary practice located at 17727 E Burnside St , Portland OR 97233-4803. She recently has only one registered license in Nursing Service Providers / Gerontology, which is considered as her primary health care specialty. Kim, Young Jin can be contacted via phone (503) 215-6556.

Contact Information

Primary practice address
17727 E Burnside St Portland OR 97233-4803
Phone: (503) 215-6556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X 20094155ORN Oregon

Profile Details

NPI number 1528480795
LBN Legal business name Kim, Young Jin
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2014
Last updated Jan 7th, 2014 - about 12 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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