Individual
DR. EDSEL UISUK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1815 SW MARLOW AVE STE 100, PORTLAND, OR 97225-5185
(503) 935-8100
(503) 935-8110
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD24541
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226996
—
OR
05
—
8523557
—
WA
Enumeration date
05/08/2006
Last updated
10/14/2025
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