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Ssung J. Kimmi Pc
Clinic/Center in Beaverton, Oregon
NPI 1568768992

Ssung J. Kimmi Pc is a Clinic/Center based in Beaverton, OR. Ssung J. Kimmi Pc practices in Beaverton, OR. The NPI Number for Ssung J. Kimmi Pc is 1568768992 and holds a License No. 3444 (Oregon).

The current practice location address for Ssung J. Kimmi Pc is 12795 Sw 3Rd St, Beaverton, OR and can be reached out via phone at 503-641-4244 and via fax at 503-641-0551.

Location: 12795 Sw 3Rd St, Beaverton, OR, 97005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568768992
Provider Name
Ssung J. Kimmi Pc
Credential
Provider Entity Type
Organization
Address
12795 Sw 3Rd St, Beaverton, OR, 97005
Phone Number
503-641-4244
Fax Number
503-641-0551
Provider Enumeration Date
02/02/2011
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
12795 Sw 3Rd St
City
Beaverton
State
Oregon
Zip
97005-2704
Phone Number
503-641-4244
Fax Number
503-641-0551
person
Provider Business Mailing Address Details
Address
12795 Sw 3Rd St
City
Beaverton
State
Oregon
Zip
97005-2704
Phone Number
503-641-4244
Fax Number
503-641-0551
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
3444 (Oregon)
Definition
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).
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