Sei Jin Kim, D.M.D

General Practice Dentistry · Gresham, OR

Individual Active NPI

NPI number 1457703001

Practice location

742 NE Division St Ste 102
Gresham, OR 97030-3979
Phone
(503) 667-2442

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NPI record

NPI
1457703001
Entity type
Individual (Type 1)
Enumeration date
July 7, 2016
Last updated
June 27, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D11053 OR
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

1730 SW Harbor Way
Unit 405
Portland, OR 97201-5100
Phone
(503) 810-4806

Other practice locations (1)

  • 2730 SW Moody Ave, Portland, OR 97201-5042 · (503) 494-8875

About Dr. Kim

Sei Jin Kim, D.M.D is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 742 NE Division St Ste 102, Gresham, OR 97030-3979. The NPI number 1457703001 was assigned on July 7, 2016 and the record was last updated on June 27, 2019.

Dr. Kim lists a license in the registry: #D11053 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sei Jin Kim, D.M.D?

The NPI number is 1457703001.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (503) 667-2442.

Where is Dr. Kim located?

742 NE Division St Ste 102, Gresham, OR 97030-3979.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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