Kim, Shane Christopher
Kim, Shane Christopher is an sole proprietor health care provider with primary practice located at 1130 Nw 22Nd Ave Ste 420 , Portland OR 97210-2995. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Kim, Shane Christopher can be contacted via phone (503) 413-4992.Contact Information
Primary practice address
1130 Nw 22Nd Ave Ste 420
Portland OR 97210-2995
Phone: (503) 413-4992
Fax: (503) 413-3699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD29423 | Oregon |
Profile Details
| NPI number | 1871623678 |
|---|---|
| LBN Legal business name | Kim, Shane Christopher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 15th, 2013 - about 11 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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