Individual
CHARLES YOUNGJOONG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9900 SE SUNNYSIDE RD, SUNNYBROOK MEDICAL OFFICE, CLACKAMAS, OR 97015-9777
(503) 786-8435
Mailing address
9900 SE SUNNYSIDE RD, SUNNYBROOK MEDICAL OFFICE, CLACKAMAS, OR 97015-9777
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD27701
OR
Other
Enumeration date
04/23/2007
Last updated
06/23/2008
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