Individual
DR. JAESUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686
(360) 487-1000
Mailing address
PO BOX 2777, PORTLAND, OR 97208-2777
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
33238
OK
2084N0400X
Neurology Physician
MD226000
OR
2084N0400X
Neurology Physician
Primary
MD61054444
WA
Other
Enumeration date
08/02/2013
Last updated
07/23/2025
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