Individual
SAMUEL H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 513-8311
Mailing address
3105 SW BENNINGTON DR, PORTLAND, OR 97205-5832
(253) 797-5980
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD26471
OR
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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