DA YOUNG KIM DO
NPI 1649912296
Student in an Organized Health Care Education/Training Program in Portland, OR
About Da Young Kim Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DA YOUNG KIM DO (NPI 1649912296) is an individual student in an organized health care education/training program in Portland, Oregon, licensed in Colorado (TL.0009280) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Da Young Kim Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Da Young Kim's NPI number?
The NPI number for Da Young Kim is 1649912296. It was assigned to this individual provider in the NPPES registry on April 12, 2022.
Where is Da Young Kim located?
Da Young Kim practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8311.
What is Da Young Kim's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Da Young Kim enrolled in Medicare?
Yes. Da Young Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Da Young Kim was last updated on July 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.
# Da Young Kim, DO · NPI 1649912296
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 12, 2022.
## Identity
- **NPI:** 1649912296 (Entity type: Individual)
- **Enumerated:** April 12, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** TL.0009280 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3098
- **Phone:** (503) 494-8311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 5, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1649912296) · Data from the CMS NPPES public registry.