Individual
HIDENAO KIMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16463 BOONES FERRY RD 300, LAKE OSWEGO, OR 97035
(503) 636-9605
(503) 636-9604
Mailing address
16463 BOONES FERRY RD 300, LAKE OSWEGO, OR 97035
(503) 636-9605
(503) 636-9604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19944
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085600
—
OR
01
—
110244971
RR MEDICARE
OR
Enumeration date
06/24/2006
Last updated
05/06/2010
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