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

Nicole J Kim

Individual provider Physical Therapist · NPI 1063135408

Nicole J Kim is a Physical Therapist in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

745 NE 122nd Ave
Portland, OR 97230-2001
Phone: (502) 252-0241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1063135408
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2022
Last updated in NPPESSeptember 21, 2022
Certification dateDecember 10, 2021

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