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Search › Oregon › 208200000X

Shane Kim, MD

NPI 1871623678 · on the registry since 2007 · sole proprietor

Practice

Address
1130 Nw 22nd Ave Ste 420
Portland, OR 97210
Phone
(503) 413-4992
Fax
(503) 413-3699
Organisation at this address
Legacy Clinics Llc
Ngc Endoscopy Services Llc
Oregon Eye Specialists, Pc
Metropolitan Pediatrics, Llc
Northwest Renal Clinic, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
159

Registry record

Primary taxonomy
208200000X
208200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon