DR. MICHAEL M KIM MD NPI 1689720468

NPI Information

NPI: 1689720468
Provider Name: DR. MICHAEL M KIM, MD
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

PECOS Registration: Yes

Address:
2525 NW LOVEJOY ST STE 402
PORTLAND, OR
ZIP 97210
Phone: (503) 575-1910
Get Directions

DR. Michael M Kim, MD is a facial plastic surgery otolaryngology in Portland, OR. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Michael M Kim, MD NPI is 1689720468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2525 NW LOVEJOY ST STE 402
PORTLAND, OR
ZIP 97210-865
Phone: (503) 575-1910

The NPI 1689720468 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 2/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0123X	Otolaryngology	Facial Plastic Surgery	MD27979	OREGON	Yes
2	207YS0123X	Otolaryngology	Facial Plastic Surgery	42031	ARIZONA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	433505	MEDICAID	ARIZONA
2	807968400	MEDICAID	IDAHO
3	218503	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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