Individual
DR. JAMES YONG-JAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 285-9321
Mailing address
3600 N INTERSTATE AVE, DEPT. PMR, PORTLAND, OR 97227-1106
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
G84332
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD24542
OR
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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