DR. MICHAEL M KIM (NPI# 1689720468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689720468 |
Entity Type | Individual |
Full Name | DR. MICHAEL M KIM |
Credential | MD |
Practice Address |
2525 Nw Lovejoy St Ste 402 Portland OR 97210-2865 |
Practice Telephone | 5035751910 |
Mailing Telephone | 5035751910 |
Enumeration Date | 2007-01-26 |
Last Update Date | 2020-02-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MD27979 | OR | Allopathic & Osteopathic Physicians |
N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
42031 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 433505 | 05 | |
ID | 807968400 | 05 | |
OR | 218503 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346627742 | Michael Kim | Acupuncturist | 22337 65th Ave, 1st Floor, Oakland Gardens, NY 11364-2313 | 2015-05-05 |
1174945273 | Michael Jong-gyu Kim | Dentist | 27382 Calle Arroyo, San Juan Capistrano, CA 92675-2746 | 2014-01-09 |
1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
1336476373 | Michael Hwangsuk Kim | Dentist | 12865 Main St, #201, Garden Grove, CA 92840-8205 | 2009-11-12 |
1861658486 | Michael Kim | Anesthesiology | 3757 Camino Cermenon, Yorba Linda, CA 92886-6213 | 2008-08-03 |
1609076512 | Michael K Kim | Chiropractor | 8748 Garden Grove Blvd, Garden Grove, CA 92844-1251 | 2007-07-19 |
1164546313 | Michael Sukkyu Kim | Optometrist | 1000 Seward Meridian Highway, Wasilla, AK 99654 | 2007-03-16 |
1093870198 | Michael S. Kim | Dentist | 2800 W Warner Ave, Suite G, Santa Ana, CA 92704-5466 | 2006-12-27 |
1295810554 | Michael Ethan Kim | Dentist | 5322 Francis Lewis Blvd, 2nd Floor, Oakland Gardens, NY 11364-1633 | 2006-10-26 |
1730294745 | Michael S. Kim | Occupational Therapist | Irwin Army Community Hospital, 600 Caisson Hill Road, Attn: Mcxx-cld-qm (cred) Terry Hill, Fort Riley, KS 66442-5037 | 2006-08-20 |
Street Address |
2525 NW LOVEJOY ST STE 402 |
City | PORTLAND |
State | OR |
Zip Code | 97210-2865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447438460 | Daniel J. Urbach, Md, PC | Internal Medicine | 2525 Nw Lovejoy St Ste 402, Portland, OR 97210-2865 | 2008-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
Find all providers in zip 97210 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508921354 | David Dean Magilke | Otolaryngology | 9427 Sw Barnes Rd Ste 394, Portland, OR 97225-6616 | 2006-12-22 |
1891801551 | Jeffrey Morris Israel | Otolaryngology | 720 Sw Hume St, Portland, OR 97219-4475 | 2006-08-22 |
1497763932 | Tom D. Wang | Otolaryngology | 3303 Sw Bond Ave, Mail Code: Ch 5e, Portland, OR 97239-4501 | 2006-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407470214 | W. Wallace Webster Md LLC | Otolaryngology | 620 Commercial Ave Ste A, Coos Bay, OR 97420-1846 | 2020-06-08 |
1821274317 | Southern Oregon Ear Nose & Throat, PC | Otolaryngology | 555 Black Oak Dr Ste 210, Medford, OR 97504-8491 | 2008-01-14 |
1760542724 | Charles Gerard Hurbis | Otolaryngology | 2695 N 17th St, Coos Bay, OR 97420-2134 | 2006-12-11 |
1083920177 | David Michael Souza | Otolaryngology | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2010-08-26 |
1427296623 | Rogue Valley Ear, Nose, Throat & Facial Plastics PC | Otolaryngology | 1601 Ne 6th St, Grants Pass, OR 97526-1035 | 2009-01-26 |
1124202346 | Michael E Villano Md LLC | Otolaryngology | 431 Ne Revere Ave, 110, Bend, OR 97701-4189 | 2007-12-24 |
Please comment or provide details below to improve the information on DR. MICHAEL M KIM.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.