Kim, Soonie Ann
Kim, Soonie Ann is an individual health care provider with primary practice located at 5200 Sw Macadam Ave #580, Portland OR 97239-6103. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kim, Soonie Ann can be contacted via phone (503) 231-7854.Contact Information
Primary practice address
5200 Sw Macadam Ave #580
Portland OR 97239-6103
Phone: (503) 231-7854
Fax: (503) 231-8153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1175 | Oregon |
Profile Details
| NPI number | 1063475259 |
|---|---|
| LBN Legal business name | Kim, Soonie Ann |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Oct 1st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063475259 | NPPES |
| Oregon | MEDICAID | 158831 |
Popular Providers
-
Manfield, David C
1962 Nw Kearney St , Portland OR 97209-1464 -
Elmore, Susan
1631 Sw Columbia St , Portland OR 97201-6025 -
Duff, Kevin
3303 S Bond Ave , Portland OR 97239-4501 -
Hart, Larry S
5319 Sw Westgate Dr #147, Portland OR 97221-2430 -
Murakami, Ann K
3939 Ne Hancock St # 312, Portland OR 97212-5321 -
Knope, Lynn
8305 Se Monterey #219, Portland OR 97266-7161 -
Moran, Patrick J
1631 Sw Columbia St , Portland OR 97201-6025 -
Landes, Herbert Rodney
833 Sw 11Th Ave Suite 424, Portland OR 97205-2125