Individual provider · Type 1 NPI

Michael M. Kim, MD

Facial Plastic Surgery Physician · Portland, OR

NPI number 1689720468 Active

Practice location

2525 NW Lovejoy St Ste 402
Portland, OR 97210-2865

Specialties and licenses

TaxonomyCodeLicense
Facial Plastic Surgery Physician Primary 207YS0123XMD27979 (OR)
Facial Plastic Surgery Physician 207YS0123X42031 (AZ)

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

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About NPI 1689720468

Michael M. Kim, MD's National Provider Identifier is 1689720468, issued on Jan 26, 2007. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Portland, OR. The record was last updated on Feb 2, 2020.