Saebom Kim, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

10014088 Issued in OR

Practice address

4550 Kruse Way Ste 125
Lake Oswego, OR 97035-3533

Phone

(503) 701-2490

Fax

(866) 663-5826

NPI assigned

Nov 1, 2022

Last updated

Aug 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDBABD

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

• Heart Vein and Vascular LLC

  • Cardiovascular Disease Physician
  • Longwood, FL
  • NPI 1447782875
  NPD
• Sinu-Clear Inc

  • Otolaryngology Physician
  • Encino, CA
  • NPI 1831298751
  NPD (past)

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1861109555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 KRUSE WAY STE 125",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353533",
            "telephone_number": "971-803-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KRUSE WAY STE 125",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353533",
            "telephone_number": "503-701-2490",
            "fax_number": "866-663-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SAEBOM",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11022905",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "10014088",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP61683297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan B Kieres, LMT
• Peter Jonathan Kiessling, M.D.
• Alison Jane Kilcup, MD
• Paula Diane Kilpatrick
• Hyeongyu Kim, NP
• Kimberly J. Schleef D.O., LLC
• Paul L Kimbrel, DMD
• Stephen Robert Kimbrough, CPHT
• Hidenao Kimura, MD
• Amanda Magdalena Kinder, FNP-C

• Primary Care Nurse Practitioner in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Primary Care Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.