Individual provider · Type 1 NPI

Hyeongyu Kim, NP

Nurse Practitioner · Lake Oswego, OR

NPI number 1992473706 Active

Practice location

5200 Meadows Rd Ste 200
Lake Oswego, OR 97035-0086

Fax (855) 255-0905

Mailing address

413 29th St NE Ste I
Puyallup, WA 98372-7154

Other practice locations

  • 413 29th St NE Ste I, Puyallup, WA 98372-7154 · (855) 255-1750

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000X201602206RN (OR)
Nurse Practitioner 363L00000XAP61354264 (WA)
Nurse Practitioner Primary 363L00000X202211907NP-PP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1992473706

Hyeongyu Kim, NP's National Provider Identifier is 1992473706, issued on Sep 6, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake Oswego, OR. The record was last updated on Sep 27, 2024.