Kim, Robert Dong

Kim, Robert Dong is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Ste 296 , Portland OR 97225-6667. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Kim, Robert Dong can be contacted via phone (503) 297-3778.

Contact Information

Primary practice address
9427 Sw Barnes Rd Ste 296 Portland OR 97225-6667
Phone: (503) 297-3778
Fax: (503) 297-7853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 48138 Wisconsin
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD126279 Oregon
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD126279 Oregon

Profile Details

NPI number 1780620096
LBN Legal business name Kim, Robert Dong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jan 14th, 2021 - about 4 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 1780620096 NPPES
Washington MEDICAID 2017147
Washington MEDICAID 500609710

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