Individual
KIM L BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1003 PROVIDENCE DRIVE, SUITE 210, NEWBERG, OR 97132
(503) 537-5900
(503) 537-5959
Mailing address
PO BOX 4949, PORTLAND, OR 97208-4949
(503) 215-6446
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD22943
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287574
—
OR
Enumeration date
09/29/2006
Last updated
11/20/2007
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