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Search › Washington › 2084N0400X

Jaesung Kim, M.D

NPI 1962834796 · on the registry since 2013

Practice

Address
2211 Ne 139th St
Vancouver, WA 98686
Phone
(360) 487-1000
Organisation at this address
Showland Medical Llc
Legacy Salmon Creek Hospital
Legacy Salmon Creek Hospital
Legacy Salmon Creek Hospital
Cascade Pathology Services, Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
153

Additional practice sites

  • 505 Ne 87th Ave Ste 460, Vancouver, WA
  • 2801 N Gantenbein Ave, Portland, OR
  • 1120 S Utica Ave, Tulsa, OK
  • 2451 Fillingim St, Mobile, AL

Registry record

Primary taxonomy
2084N0400X
2084N0400X
Also registered as
2084N0400X
2084N0400X
Licence states on file
OK, WA, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington