Kim, Minji

Kim, Minji is an individual health care provider with primary practice located at 920 Royal Ave , Medford OR 97504-6169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kim, Minji can be contacted via phone (541) 732-8400.

Contact Information

Primary practice address
920 Royal Ave Medford OR 97504-6169
Fax: (541) 732-3407
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD196401 Oregon
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD60861213 Washington

Profile Details

NPI number 1720424591
LBN Legal business name Kim, Minji
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2013
Last updated Mar 18th, 2021 - about 3 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 1720424591 NPPES
Oregon Other R213587 MEDICARE

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