Edsel U. Kim, M.D. Llc

LBN: Edsel U. Kim, M.D. Llc
Edsel U. Kim, M.D. Llc is an health care organization with primary practice located at 2222 Nw Lovejoy Suite 607, Portland OR 97210. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Edsel U. Kim, M.D. Llc can be contacted via phone (503) 222-3638, or through Kim, Edsel U. via phone (503) 222-3638.

Contact Information

Primary practice address
2222 Nw Lovejoy Suite 607 Portland OR 97210
Phone: (503) 222-3638
Fax: (503) 223-5139
Website:
Map and Directions
Authorized official contact:
Name: Kim, Edsel U. Doctor of Medicine (MD)
Phone: (503) 222-3638

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD24541 Oregon

Profile Details

NPI number 1457303372
LBN Legal business name Edsel U. Kim, M.D. Llc
DBA Doing business as
Authorized official Kim, Edsel U. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Dec 13th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457303372 NPPES
Oregon MEDICAID 226996

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