Aileen Kim, MD | |
12442 Sw Scholls Ferry Rd, Suite 106, Tigard, OR 97223-3396 | |
(503) 216-9200 | |
(503) 216-9220 |
Full Name | Aileen Kim |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 36 Years |
Location | 12442 Sw Scholls Ferry Rd, Tigard, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255360657 | NPI | - | NPPES |
013438 | Medicaid | OR | |
110177407 | Other | OR | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD16600 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20061104000573 |
Mailing Address | Practice Location Address |
---|---|
Aileen Kim, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Aileen Kim, MD 12442 Sw Scholls Ferry Rd, Suite 106, Tigard, OR 97223-3396 Ph: (503) 216-9200 |
Evagelia Baros, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12442 Sw Scholls Ferry Rd, Suite 106, Tigard, OR 97223 Phone: 503-216-9200 | |
Dr. Firas George Khoury, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15895 Sw 72nd Ave Ste 250, Tigard, OR 97224 Phone: 503-624-5630 Fax: 503-624-9149 | |
Poombavai O Nagappan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12442 Sw Scholls Ferry Rd, Suite 106, Tigard, OR 97223 Phone: 503-216-9200 Fax: 503-216-9220 | |
Dr. Sheeten B Doshi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161 | |
Samuel J Fellin, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12442 Sw Scholls Ferry Rd, Suite 106, Tigard, OR 97223 Phone: 503-216-9200 Fax: 503-212-6922 | |
Dr. Milton Louis Blettel, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9900 Sw Hall Blvd, #200, Tigard, OR 97223 Phone: 503-293-1515 Fax: 503-595-3905 |