Individual
DONG W KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 SW WASHINGTON ST STE 700, PORTLAND, OR 97205
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9902
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A68493
CA
207L00000X
Anesthesiology Physician
Primary
MD187959
OR
Other
Enumeration date
07/12/2006
Last updated
10/17/2018
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