Ryoka Kim, PH.D., L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2846 Issued in OR

Practice address

18610 NW Cornell Rd Ste 300
Hillsboro, OR 97124-9206

Phone

(503) 216-9300

NPI assigned

Sep 11, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Yang-Hyang Kim Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jami Howell, PSYD LLC

  • Psychologist
  • Portland, OR
  • NPI 1073089207
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1417325101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 NW CORNELL RD STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249206",
            "telephone_number": "503-216-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RYOKA",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016401",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2846",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkim832161@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "18610 NW Cornell Rd Ste 300",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971249206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "YANG-HYANG",
            "last_name": "KIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittani Killgo, LMT
• Bora Kim
• Hee Eun Kim
• Laurianne Guce Kim, PTA, BS
• Michael Charles Kim, DMD
• Viviana Kim
• Kimani Psychiatry
• Shannon Katherine Kimball, PHARMD
• Janet Kindschuh, DPT
• David Jay King, D.C.

• Clinical Psychologist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.