YOUNG JIN KIM RN
NPI 1528480795
Registered Nurse - Gerontology in Portland, OR

Active since January 07, 2014
17727 E BURNSIDE ST, PORTLAND, OR 97233(503) 215-6556 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Young Jin Kim Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUNG JIN KIM RN (NPI 1528480795) is an individual gerontology provider in Portland, Oregon, licensed in Oregon (20094155ORN) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1528480795
Entity TypeIndividualFemale
Primary Taxonomy163WG0600X
Provider Legal NameYOUNG JIN KIMCredential: RN
Location Address17727 E BURNSIDE STPortland, OR 97233-4803
Mailing Address17727 E Burnside StPortland, OR 97233-4803 · (503) 215-6556
Sole ProprietorYes
Enumeration DateJanuary 7, 2014
NPI 1528480795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · GerontologyNursing Service Providers
Taxonomy Code163WG0600X
License Licensed in OR · 20094155ORN
17727 E BURNSIDE ST, Portland, OR 97233

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Gerontology)
17727 E BURNSIDE ST
PORTLAND, OR 97233
Social Worker (Clinical)
17727 E BURNSIDE ST
PORTLAND, OR 97233
Licensed Practical Nurse
17727 E BURNSIDE ST
PORTLAND, OR 97233
Social Worker
17727 E BURNSIDE ST
PORTLAND, OR 97233
Internal Medicine (Geriatric Medicine)
17727 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse
17727 E BURNSIDE ST
PORTLAND, OR 97233
Nurse Practitioner (Gerontology)
17727 E BURNSIDE ST
PORTLAND, OR 97233
Dietitian, Registered
17727 E BURNSIDE ST
PORTLAND, OR 97233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Young Kim's NPI number?

The NPI number for Young Kim is 1528480795. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Where is Young Kim located?

Young Kim practices at 17727 E Burnside St, Portland, OR 97233. The listed phone number is (503) 215-6556.

What is Young Kim's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Gerontology, with taxonomy code 163WG0600X.

When was this NPI record last updated?

The NPPES record for Young Kim was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.