Kim, Julie E

Kim, Julie E is an sole proprietor health care provider with primary practice located at 1515 Village Dr , Cottage Grove OR 97424-9700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Kim, Julie E can be contacted via phone (541) 942-0511.

Contact Information

Primary practice address
1515 Village Dr Cottage Grove OR 97424-9700
Fax: (541) 942-6735
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD27528 Oregon

Profile Details

NPI number 1497796403
LBN Legal business name Kim, Julie E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Jul 7th, 2008 - about 16 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 1497796403 NPPES
Washington MEDICAID 8432833

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