Individual
DR. SHANE CHRISTOPHER KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 NW 22ND AVE STE 420, PORTLAND, OR 97210-2995
(503) 413-4992
(503) 413-3699
Mailing address
1130 NW 22ND AVE STE 420, PORTLAND, OR 97210-2995
(503) 413-4992
(503) 413-3699
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD29423
OR
Other
Enumeration date
03/07/2007
Last updated
07/15/2013
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