Individual provider · Type 1 NPI

Shane K. Kim, MD

Ophthalmology Physician · Portland, OR

NPI number 1801974027 Active

Practice location

10819 SE Stark St, Suite 200
Portland, OR 97216-3161

Call (503) 255-2291 Map

Fax (503) 252-1797

Mailing address

PO Box 22009
Portland, OR 97269-2009

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician Primary 207W00000XMD27296 (OR)

Ophthalmology Physician: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services,…

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About NPI 1801974027

Shane K. Kim, MD's National Provider Identifier is 1801974027, issued on Nov 2, 2006. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in Portland, OR. The record was last updated on Feb 20, 2021.