Individual
JANICE J. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(888) 333-1095
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301110262
MI
207L00000X
Anesthesiology Physician
MD165322
OR
207L00000X
Anesthesiology Physician
Primary
MD210380
OR
207LP3000X
Pediatric Anesthesiology Physician
49142
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01802763
—
CO
05
—
500667634
—
OR
Enumeration date
05/04/2007
Last updated
12/24/2022
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