| Peter Soo-hwan Kim, | |
|
4103 Mercantile Dr, Lake Oswego, OR 97035-2556 | |
| (503) 850-9940 | |
| (503) 850-6709 |
| Full Name | Peter Soo-hwan Kim |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 4103 Mercantile Dr, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629688775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Thunderbird Medical Center | Glendale, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bhsm Rehabilitation Llc | 2062773138 | 1355 |
| Banner Physician Specialists Arizona Llc | 6204002272 | 255 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Soo-hwan Kim, 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 Ph: (503) 850-9940 | Peter Soo-hwan Kim, 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 Ph: (503) 850-9940 |
Amanda Leigh Barclay, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17550 Provost St Ste 201, Lake Oswego, OR 97034 Phone: 503-872-2440 | |
Ms. Julie Lyn Cramer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 541-969-7466 Fax: 855-529-7962 | |
Ms. Stacy R. Hampton, PHARM.D., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16869 65th Ave # 287, Lake Oswego, OR 97035 Phone: 541-808-1093 Fax: 541-738-2106 | |
Megan Elaine Hunt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709 | |
Colin Zelimir Barich, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4103 Mercantile Dr Ste B, Lake Oswego, OR 97035 Phone: 503-850-9940 | |
James Herbert Moorman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4000 Carman Dr, Unit 41, Lake Oswego, OR 97035 Phone: 503-473-6345 | |
Mr. Anthony Lance Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709 |