JOSHUA J KIM (NPI# 1851633077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851633077 |
| Entity Type | Individual |
| Full Name | JOSHUA J KIM |
| Credential | MD |
| Practice Address |
9427 Sw Barnes Rd Ste 395 Portland OR 97225-6652 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032166050 |
| Mailing Telephone | 5032156494 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
MD192948 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Community Dr, Manhasset, NY 110303816 | 5165620100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710527858 | Joshua Kim | Pharmacist | 179 Gelston Ave Apt 4g, Brooklyn, NY 11209-7099 | 2020-01-07 |
| 1417514704 | Joshua Kim | Pharmacist | 824 N Market St Ste 103, Wilmington, DE 19801-4937 | 2019-05-22 |
| 1235539792 | Joshua W Kim | Counselor | 1425 W Foothill Blvd # 310, Upland, CA 91786 | 2014-09-02 |
| 1205145489 | Joshua Kim | Dentist | 10773 Sw Beaverton Hillsdale Hwy Ste B, Beaverton, OR 97005-3010 | 2010-10-05 |
| 1982669552 | Joshua Cheol-hong Kim | Internal Medicine | 34601 S. Phyllis St., Black Cayon City, AZ 85324 | 2006-04-18 |
| 1679102792 | Joshua Kim | Student in an Organized Health Care Education/Training Program | 25 Michigan St Ne Ste 2100, Grand Rapids, MI 49503-2526 | 2020-04-02 |
| 1851940852 | Joshua Dong-in Kim | Behavior Technician | 17595 Almahurst St, City of Industry, CA 91748-1779 | 2019-09-11 |
| 1386205839 | Joshua Kim | Student in an Organized Health Care Education/Training Program | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-06-25 |
| 1669037347 | Joshua Y Kim | Pharmacist | 3251 Stanford Ranch Rd, Rocklin, CA 95765-5553 | 2019-05-07 |
| 1013479781 | Joshua Kim | Student in an Organized Health Care Education/Training Program | 571 S Floyd St Ste 412, Louisville, KY 40202-3877 | 2019-04-02 |
| Street Address |
9427 SW BARNES RD STE 395 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891782868 | Patrick S O'hollaren | Urology | 9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 | 2005-10-04 |
| 1093139925 | Tyson Dee Payne Payne | Psychologist | 9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 | 2014-02-12 |
| 1588831713 | Amy Chu Tsai | Pediatrics | 9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 | 2008-05-16 |
| 1639128499 | Jeannie Yang Chun | Surgery | 9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417041989 | Richard J Konkol | Psychiatry & Neurology | 3550 North Interstate Ave, Medical Office East, Portland, OR 97227-1097 | 2006-10-02 |
| 1689093817 | Artur Riddle | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3079 | 2014-04-15 |
| 1033535463 | Providence Health & Services - Oregon | Psychiatry & Neurology | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2014-03-10 |
| 1689017048 | Ittai Bushlin | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2013-04-16 |
| 1639436074 | Alison Christy | Psychiatry & Neurology | 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225-6652 | 2012-04-23 |
| 1205094406 | Jenny Lupovici Wilson | Psychiatry & Neurology | 707 Sw Gaines St, Portland, OR 97239-2901 | 2008-05-26 |
| 1487709259 | Erika Lee Finanger | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd, Cdrc-p, Portland, OR 97239-3011 | 2007-01-24 |
| 1386796266 | Jennifer Clare Huffman | Psychiatry & Neurology | 501 N Graham St, Suite 330a, Portland, OR 97227-1654 | 2007-01-18 |
| 1295743722 | Colin Matthew Roberts | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-03 |
| 1356358287 | Stephen Arthur Back | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-02 |
| 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.