NPI 1427459650 · live from the CMS NPI Registry
Sohyon Kim
Dentist, Orthodontics and Dentofacial Orthopedics in Portland, OR. National Provider Identifier 1427459650, active.
NPI record
| NPI | 1427459650 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2730 S Moody Ave, Portland, OR 97201 |
| Practice phone | 503-494-8921 |
| Mailing address | 836 S Curry St Unit 306, Portland, OR 97239 |
| Enumerated | September 8, 2014 |
| Last updated | July 12, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D10609 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.