AMANDA KIM (NPI# 1043470057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043470057 |
| Entity Type | Individual |
| Full Name | AMANDA KIM |
| Credential | M.D. |
| Practice Address |
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 |
| Mailing Address |
707 Sw Gaines St Mail Code Cdrcp Portland OR 97239-2901 |
| Practice Telephone | 5034948211 |
| Mailing Telephone | 5039530155 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2014-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD155237 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956330 | Amanda Kristen Kim | Speech-Language Pathologist | 3570 Executive Dr Ste 208, Uniontown, OH 44685-8712 | 2018-09-19 |
| 1386903193 | Amanda Kim | Psychologist | 530 Washington Blvd Apt 3e, Oak Park, IL 60302-4063 | 2012-05-14 |
| 1790309243 | Amanda Yj Kim | Student in an Organized Health Care Education/Training Program | 714 Tiverton Ave, Los Angeles, CA 90095-8361 | 2020-06-01 |
| 1275161713 | Amanda Kim | Psychiatry & Neurology | 75 Francis St, Boston, MA 02115-6106 | 2020-03-30 |
| 1336702919 | Amanda Kim | Acupuncturist | 5 Park Dr, Burlington, MA 01803-1021 | 2019-04-18 |
| 1750898623 | Amanda Kim | Behavioral Analyst | 268 Bush St Ste 3039, San Francisco, CA 94104-3503 | 2018-01-02 |
| 1093251605 | Amanda Kim | Assistant Behavior Analyst | 6330 Variel Ave, Suite 102, Woodland Hills, CA 91367-2543 | 2017-01-06 |
| 1689050809 | Amanda Kim | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2015-08-11 |
| 1992192579 | Amanda Jane Wong Kim | Family Medicine | 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | 2015-04-21 |
| Street Address |
3181 SW SAM JACKSON PARK RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506301 | Jerris Robert Hedges | Emergency Medicine | 3181 Sw Sam Jackson Park Rd, # L-102, Portland, OR 97239-3011 | 2005-05-31 |
| 1114528486 | Nathan Stencel | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-11-04 |
| 1073113064 | Evan Mitchell | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-28 |
| 1629678834 | Vanessa Davie | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-27 |
| 1952901480 | Jackie Kim Sharpe | Pharmacist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-26 |
| 1922607530 | Leah Snyder | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-10-23 |
| 1932708740 | Blake Beneville | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-10-22 |
| 1154920833 | Isabelle Nguyen | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-22 |
| 1124627054 | Musah N Iddrisu | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-21 |
| 1386242105 | Wenelia Baghoomian | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073611687 | Breton Charles Freitag | Pediatrics | 501 N Graham Street, Suite 265, Portland, OR 97227 | 2006-09-20 |
| 1740232974 | Paul Stobie | Pediatrics | 109 Lost Creek Dr, Portland, TX 78374-1449 | 2006-05-16 |
| 1457319295 | Sean L Sweeney | Pediatrics | 501 N Graham St Ste 265, Portland, OR 97227-2000 | 2006-05-02 |
| 1932641180 | Holly Kay Hunt | Pediatrics | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2016-11-04 |
| 1164765590 | Casey Sterling Ward | Pediatrics | 501 N Graham St Ste 265, Portland, OR 97227-2000 | 2013-04-04 |
| 1003159757 | Megan Furnari | Pediatrics | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-01 |
| 1811254188 | Leah Yieh | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-04-11 |
| 1831482694 | Angela Douglas | Pediatrics | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011 | 2011-05-25 |
| 1205129699 | Adrienne Rachael Bingham | Pediatrics | 9205 Sw Barnes Rd, Portland, OR 97225 | 2011-05-18 |
| 1093004541 | Ladawna Gievers | Pediatrics | 707 Sw Gaines St, Mail Cdrc-p, Portland, OR 97239-2901 | 2011-04-05 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.