Individual
JIYOUN E KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
665 WINTER ST SE, SALEM, OR 97301-3934
(503) 561-2448
Mailing address
PO BOX 13129, SALEM, OR 97309-1129
(503) 561-2448
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD27016
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240491
—
OR
01
—
CS4159
RAILROAD GROUP
—
01
—
P00378192
RAILROAD MEDICARE
—
Enumeration date
10/12/2006
Last updated
07/08/2025
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