Individual
CHOONG R KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 636-4841
(360) 636-6744
Mailing address
1603 LARCH ST, UNIT 2819, LONGVIEW, WA 98632-0825
(360) 636-4841
(360) 636-6744
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00030605
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061288
—
OR
05
—
1082841
—
WA
Enumeration date
12/27/2007
Last updated
05/27/2021
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