Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeong-A (Jennie) Kim

Individual provider Pharmacist · NPI 1750783437

Jeong-A (Jennie) Kim is a Pharmacist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
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Practice location Address checks out

3155 SW Moody Ave Apt 716
Portland, OR 97239-4735
Phone: (541) 829-0626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH-0014353 (OR)

Record details

NPI number1750783437
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2014
Last updated in NPPESSeptember 24, 2014

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