Individual
MINJI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 ROYAL AVE, MEDFORD, OR 97504-6169
(541) 732-8400
(541) 732-3407
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-8400
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD196401
OR
2084N0400X
Neurology Physician
MD60861213
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R213587
MEDICARE
OR
Enumeration date
05/20/2013
Last updated
03/18/2021
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