Individual
LAURA JIHYUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2906
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44147
MT
207R00000X
Internal Medicine Physician
MD27582
OR
207R00000X
Internal Medicine Physician
MD60555055
WA
208M00000X
Hospitalist Physician
Primary
MD27582
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241537
—
OR
01
—
P00865991
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
04/10/2007
Last updated
01/29/2021
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