Edsel U. Kim, M.D. LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD24541 Issued in OR

Legal business name

EDSEL U. KIM, M.D. LLC

Practice address

2222 NW Lovejoy
Suite 607
Portland, OR 97210

Phone

(503) 222-3638

Fax

(503) 223-5139

NPI assigned

May 17, 2006

Last updated

Dec 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edsel U. Kim, M.D.

Title

Owner/Physician

Phone

(503) 222-3638

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1457303372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY",
            "address_2": "SUITE 607",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-222-3638",
            "fax_number": "503-223-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY",
            "address_2": "SUITE 607",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-222-3638",
            "fax_number": "503-223-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDSEL U. KIM, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EDSEL",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "503-222-3638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD24541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226996",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Edmondson, PHARMD
• Michael Parker Edmondson
• Lorna Elizabeth Edmunds, MD PHD
• Edna Kung, MD, PC
• Megan T Ednoff, RN
• Lysanji Edson, N.D.
• Tifanie Edson
• Katherine Felicia Edstrom, AGNP-C
• Eduardo C. Lopez, D.D.S., PC
• Kela Edvalson, RPH

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.