Lu, Kim Champion

Lu, Kim Champion is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Mailcode L223A, Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Lu, Kim Champion can be contacted via phone (503) 494-4373.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Mailcode L223A Portland OR 97239-3011
Phone: (503) 494-4373
Fax: (503) 494-8884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD25911 Oregon
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD25911 Oregon

Profile Details

NPI number 1871500702
LBN Legal business name Lu, Kim Champion
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Sep 17th, 2020 - about 5 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 1871500702 NPPES
Oregon MEDICAID 213553

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