Organization · Type 2 NPI

Ssung J. Kimmi PC

Clinic/Center · Beaverton, OR

NPI number 1568768992 Active

Practice location

12795 SW 3rd St
Beaverton, OR 97005-2704

Call (503) 641-4244 Map

Fax (503) 641-0551

Mailing address

12795 SW 3rd Street
Beaverton, OR 97005

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X3444 (OR)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4 other providers at this address

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About NPI 1568768992

Ssung J. Kimmi PC's National Provider Identifier is 1568768992, issued on Feb 2, 2011. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Beaverton, OR. The record was last updated on Jan 27, 2014.