Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHY KIRYANG BAK, M.D.
ActiveKATHY KIRYANG BAK, M.D. is a Family Medicine healthcare provider located in PORTLAND, Oregon. NPI 1861412884 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PORTLAND, OR
Registration Details
- NPI Number
- 1861412884
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2006 (20.023506266532 yrs)
- Last Updated
- Oct 27, 2023
- Licenses
-
A91888 (CA)MD164294 (OR)
Practice Information
- Address
-
12400 NW CORNELL RD STE 100PORTLAND, OR, 972295689Browse OR providers · Browse ZIP 97229
- Phone
- 5032914000
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MELANIE J SMYTHE | DO | 1043214471 |
| DR. BRYAN DEAN WALLS | D.O. | 1710982129 |
| KAREN R COOPER | D.O. | 1487646238 |
| MS. SHAUNA L ENSMINGER | MD | 1619960002 |
| MARINA MEZEY | MD | 1346234606 |
| JOHN TAKACS | DO | 1215921374 |
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.