Individual
DR. GARY SANG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15950 SW MILLIKAN WAY, BEAVERTON, OR 97006-5170
(503) 646-0161
(503) 643-7459
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01059242A
IN
207R00000X
Internal Medicine Physician
Primary
153579
OR
Other
Enumeration date
12/01/2005
Last updated
11/16/2020
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