| Kim's Wellness Center | |
|
917 Sw Oak St Portland OR 97205 | |
| (917) 456-6385 | |
| (844) 401-8624 |
| Full Name | Kim's Wellness Center |
|---|---|
| Speciality | Clinic/center |
| Location | 917 Sw Oak St, Portland, Oregon |
| Authorized Official Name and Position | Kimberly Boldrini-senn (OWNER) |
| Authorized Official Contact | 9174566385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim's Wellness Center 1011 Ne Hancock St Portland OR 97212 Ph: (917) 456-6385 | Kim's Wellness Center 917 Sw Oak St Portland OR 97205 Ph: (917) 456-6385 |
| NPI Number | 1548633399 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548633399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 165166 (Oregon) | Primary |
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