Individual
DR. JULIE A KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1130 NW 22ND AVE, SUITE 410, PORTLAND, OR 97210-2900
(503) 229-7137
(503) 241-0628
Mailing address
1130 NW 22ND AVE, SUITE 410, PORTLAND, OR 97210-2900
(503) 229-7137
(503) 241-0628
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD18292
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27672-7
—
OR
Enumeration date
09/08/2006
Last updated
07/08/2007
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