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

DR. SHANE CHRISTOPHER KIM, MD

Active Sole Proprietor

DR. SHANE CHRISTOPHER KIM, MD is a Plastic Surgery healthcare provider located in PORTLAND, Oregon. NPI 1871623678 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · PORTLAND, OR

Registration Details

NPI Number
1871623678
Provider Type
Individual
Gender
Male
NPI Issued
Mar 7, 2007 (19.252090689154 yrs)
Last Updated
Jul 15, 2013
License
MD29423 (OR)
Sole Proprietor
Yes

Practice Information

Address
1130 NW 22ND AVE STE 420
PORTLAND, OR, 972102995
Browse OR providers · Browse ZIP 97210
Phone
5034134992
Fax
5034133699
Primary Specialty
Plastic Surgery
208200000X

Other Plastic Surgery Providers in PORTLAND, OR

Name Credential NPI
ELIZABETH JEAN STONE MD 1982698544
DR. CLIFFORD STEVEN CANEPA MD 1861481913
DR. BRUCE RANDOLPH WEBBER MD 1780661371
DR. HENRY DANIEL ZEGZULA M.D. 1811968639
JENNIFER A MURPHY M.D. 1962465138
DR. YALE SANDS POPOWICH M.D. 1942231014
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.