YOUNG JIN KIM (NPI# 1528480795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528480795 |
| Entity Type | Individual |
| Full Name | YOUNG JIN KIM |
| Credential | RN |
| Practice Address |
17727 E Burnside St Portland OR 97233-4803 |
| Practice Telephone | 5032156556 |
| Mailing Telephone | 5032156556 |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0600X |
Registered Nurse Specialization: Gerontology |
20094155ORN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399356 | Young Joo Kim | Acupuncturist | 3237 Corporate Ct, Ellicott City, MD 21042-2247 | 2019-11-04 |
| 1083176523 | Young K Kim | Acupuncturist | 1027 4th Ave, Los Angeles, CA 90019-2018 | 2019-04-03 |
| 1336611938 | Young Ho Kim | Acupuncturist | 2966 Wilshire Blvd # A, Los Angeles, CA 90010-1128 | 2018-12-20 |
| 1356819767 | Young Sun Kim | Acupuncturist | 452 N 8th St Unit B, Fairview, NJ 07022-1106 | 2018-11-05 |
| 1467980482 | Young Mi Kim | Social Worker | 22252 Parched Dr, Calabasas, CA 91302-6117 | 2017-06-03 |
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1801347992 | Young O Kim | Acupuncturist | 3000 W Olympic Blvd Ste 301, Los Angeles, CA 90006-6512 | 2016-10-24 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1700207941 | Young Kim | Internal Medicine | 251 Campus Drive Room X3c46 Medical School Office Bdg, Division of General Medical Disciplines, Stanford, CA 94305 | 2013-12-13 |
| 1245584804 | Young Kyu Kim | Acupuncturist | 3130 Wilshire Blvd Ste 308, Los Angeles, CA 90010-1206 | 2012-11-05 |
| Street Address |
17727 E BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942258827 | Vicki Lee | Nurse Practitioner | 17727 E Burnside St, Portland, OR 97233-4803 | 2006-05-04 |
| 1033758198 | Theresa Renee Seifer | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2020-01-06 |
| 1821632480 | Mary Patricia Cohen | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-11-06 |
| 1346896636 | James Arthur Mcavoy IIi | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-08-13 |
| 1811559602 | Rachael C Harris | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-07-02 |
| 1083173314 | Claudia None Fong | Licensed Practical Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-03-16 |
| 1346710027 | Karen Schmidt Smack | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2018-11-26 |
| 1770079170 | Kelly Skellenger | Social Worker | 17727 E Burnside St, Portland, OR 97233-4803 | 2018-07-09 |
| 1861902256 | Cecilia Koukoumanos | Social Worker | 17727 E Burnside St, Portland, OR 97233-4803 | 2017-10-11 |
| 1902322878 | Zarina Verbetskiy | Physical Therapy Assistant | 17727 E Burnside St, Portland, OR 97233-4803 | 2017-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 163WG0600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253510 | Casey Shillam | Registered Nurse | 5000 N Willamette Blvd # 153, Portland, OR 97203-5798 | 2018-04-25 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1902155823 | Lisa Jill Miller | Registered Nurse | 4540 Ne Glisan, Portland, OR 97213 | 2012-09-06 |
| 1134477839 | Megan Joanne Keller | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2012-08-28 |
| 1255335295 | Brenda R Annotti | Registered Nurse | 3550 N Interstate Ave, Portland, OR 97227 | 2005-06-08 |
| 1033758198 | Theresa Renee Seifer | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2020-01-06 |
| 1336795228 | Kathy Elaine Torres | Registered Nurse | 420 Ne Mason St, Portland, OR 97211-3479 | 2019-08-15 |
| 1316505381 | Amy Katherine Owotor | Registered Nurse | 4400 Ne Halsey St Ste 200, Portland, OR 97213-1545 | 2019-06-04 |
| 1790343952 | Penni Kleber | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2019-06-03 |
| 1750894168 | Scott E Stewart | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2017-11-07 |
| 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.