Kim, Edsel Uisuk

Kim, Edsel Uisuk is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 536 , Portland OR 97225-6785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kim, Edsel Uisuk can be contacted via phone (503) 935-8100.

Contact Information

Primary practice address
9155 Sw Barnes Rd Ste 536 Portland OR 97225-6785
Phone: (503) 935-8100
Fax: (503) 935-8110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD24541 Oregon

Profile Details

NPI number 1073562070
LBN Legal business name Kim, Edsel Uisuk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Nov 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073562070 NPPES
Oregon MEDICAID 226996
Oregon MEDICAID 8523557

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