Individual
DR. JEAN RIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2906
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071039A
IN
207R00000X
Internal Medicine Physician
036.118468
IL
207R00000X
Internal Medicine Physician
MD156393
OR
208M00000X
Hospitalist Physician
Primary
MD156393
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500645627
—
OR
01
—
P01123631
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
03/06/2007
Last updated
07/23/2021
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