Individual
EDWARD M KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 CENTER AVE, MOLALLA, OR 97038-8134
(503) 829-1400
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD1D94799
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
05/05/2017
Last updated
06/09/2025
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