Kim, Hyon Soo Harold

Kim, Hyon Soo Harold is an individual health care provider with primary practice located at 2230 Nw Pettygrove St Ste 120, Portland OR 97210-2659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Kim, Hyon Soo Harold can be contacted via phone (503) 444-7676.

Contact Information

Primary practice address
2230 Nw Pettygrove St Ste 120 Portland OR 97210-2659
Phone: (503) 444-7676
Fax: (971) 319-6647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X MD24993 Oregon

Profile Details

NPI number 1700924719
LBN Legal business name Kim, Hyon Soo Harold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Mar 7th, 2016 - about 9 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 1700924719 NPPES
Oregon MEDICAID 022701

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