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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871500702 | NPPES |
Oregon | MEDICAID | 213553 |
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