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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAE YEON KIM, MD

Active

TAE YEON KIM, MD is a 2084E0001X healthcare provider located in PORTLAND, Oregon. NPI 1518462456 is currently active in the NPPES registry. Verify at CMS.

2084E0001X · PORTLAND, OR

Registration Details

NPI Number
1518462456
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2018 (8.4212086724778 yrs)
Last Updated
Feb 26, 2026
Licenses
MD209828 (OR)
MD209828 (OR)

Practice Information

Address
3181 SW SAM JACKSON PARK RD
PORTLAND, OR, 972393098
Browse OR providers · Browse ZIP 97239
Phone
5034948211
Primary Specialty
2084E0001X
2084E0001X
Additional Specialty
2084E0001X

Other 2084E0001X Providers in PORTLAND, OR

Name Credential NPI
JULIA B. TOUB M.D. 1104095421
KATHERINE PARK 1376886606
AMANDA E. SIMON MD 1710514997
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.