ISABEL S KIM MA
NPI 1114553625
Counselor - Mental Health in Portland, OR

The NPI number for Isabel Kim is 1114553625. It was assigned to this individual provider in the NPPES registry on March 16, 2020.

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

The NPPES record for Isabel Kim was last updated on March 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 16, 2020

4035 NE SANDY BLVD STE 200, PORTLAND, OR 97212(971) 940-2601(971) 275-1534 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Isabel S Kim Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISABEL S KIM MA (NPI 1114553625) is an individual mental health provider in Portland, Oregon and active in the NPI registry since March 2020.

NPI1114553625

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameISABEL S KIMCredential: MA

Location Address4035 NE SANDY BLVD STE 200Portland, OR 97212-5331

Mailing Address14605 Sw Osprey Dr Apt 1325Beaverton, OR 97007-7967 · (971) 227-2133

Fax(971) 275-1534

Sole ProprietorNo

Enumeration DateMarch 16, 2020

NPPES CertifiedMarch 16, 2020

✔ NPI 1114553625 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

4035 NE SANDY BLVD STE 200, Portland, OR 97212

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Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)