Individual
TAELIM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29345 SW TOWN CENTER LOOP E STE 110, WILSONVILLE, OR 97070-8486
(503) 582-2100
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116035317
VA
207Q00000X
Family Medicine Physician
Primary
MD218627
OR
Other
Enumeration date
06/07/2021
Last updated
09/30/2024
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