Edsel U. Kim, M.d. LLC

NPI #1457303372 in Portland, Oregon

Provider Information

NPI Number: 1457303372
Entity Type: Organization
Organization Name: Edsel U. Kim, M.d. LLC
Primary Specialty: Specialist
Enumeration Date: May 17, 2006
Last Updated: Dec 13, 2007

Practice Location

Address: 2222 NW LOVEJOY
Address 2: SUITE 607
City: Portland
State: Oregon
ZIP Code: 97210
Phone: (503) 222-3638

Authorized Official

Name: DR. EDSEL U. KIM, M.D.
Title: OWNER/PHYSICIAN
Phone: (503) 222-3638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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