Individual provider · Type 1 NPI

Elly Jin Kim, RDH

Dental Hygienist · Portland, OR

NPI number 1740006873 Active

Practice location

5025 SE 28th Ave
Portland, OR 97202-4445

Call (800) 813-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH8490 (OR)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1740006873

Elly Jin Kim, RDH's National Provider Identifier is 1740006873, issued on Nov 22, 2024. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Portland, OR. The record was last updated on Mar 28, 2025.