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ELLY JIN KIM RDH
NPI 1740006873
Dental Hygienist in Portland, OR

Active since November 22, 2024
5025 SE 28TH AVE, PORTLAND, OR 97202(800) 813-2000 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2025, Nov 22, 2024 (2 updates tracked since 2024).

About Elly Jin Kim Rdh NPPES

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

ELLY JIN KIM RDH (NPI 1740006873) is an individual dental hygienist in Portland, Oregon, licensed in Oregon (H8490) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1740006873
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameELLY JIN KIMCredential: RDH
Location Address5025 SE 28TH AVEPortland, OR 97202-4445
Mailing Address5025 Se 28th AvePortland, OR 97202-4445
Phone(800) 813-2000
Sole ProprietorNo
Enumeration DateNovember 22, 2024
Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1740006873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in OR · H8490
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
5025 SE 28TH AVE, Portland, OR 97202
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

GWENDOLYN EVE POLLAN EFDA
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
KAISER DENTAL
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
SUSAN MARIE ADAMS EFDA, CDA
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
MS. JACQUELINE REE FARLINGER-KING RDH
Dental Hygienist
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
GLENDA K LORIMOR EFDA
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
TIANA LYNN DWAN
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
MS. JULIA MARIE LYNCH RDH
Dental Hygienist
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
SARAH BACHMAN EFDA
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elly Kim's NPI number?

The NPI number for Elly Kim is 1740006873. It was assigned to this individual provider in the NPPES registry on November 22, 2024.

Where is Elly Kim located?

Elly Kim practices at 5025 SE 28th Ave, Portland, OR 97202. The listed phone number is (800) 813-2000.

What is Elly Kim's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Elly Kim was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.