Individual
DR. ERIC H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4417 NE BEECH ST, PORTLAND, OR 97213-1045
(503) 806-0177
Mailing address
4417 NE BEECH ST, PORTLAND, OR 97213-1045
(035) 806-0177
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD18614
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050046512
RR MEDICARE
OR
05
—
067137
—
OR
05
—
8206674
—
WA
Enumeration date
05/17/2006
Last updated
03/24/2022
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