Individual
DR. JOSEPH JYONG WON KIM I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10151 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015-5705
(503) 659-0880
(503) 513-7425
Mailing address
10151 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015-5705
(503) 659-0880
(503) 513-7425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD28418
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026193
—
OR
Enumeration date
06/06/2007
Last updated
03/05/2025
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