Helen H Pak Dc Fnp LLC
Nurse Practitioner, Family in Beaverton, OR. Organization (NPI-2).
NPI number1962069062
StatusActive
Last updated in NPPESMay 23, 2019
Details
- NPI
- 1962069062
- Entity type
- Organization (NPI-2)
- Legal business name
- Helen H Pak Dc Fnp LLC
- Organization subpart
- No
- Enumeration date
- May 23, 2019
- Last updated
- May 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 111N00000X | Chiropractor | – | – |
Other names
- Kimmi Clinic (Doing Business As)
Practice location
12795 Sw 3rd StBeaverton, OR 97005-2704
Phone 503-641-4244 · Fax 503-641-0551
Mailing address
12795 Sw 3rd StBeaverton, OR 97005-2704
Phone 503-641-4244 · Fax 503-641-0551
Authorized official
Helen Pak
Clinic Director
5036414244
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