DR. MICHAEL M KIM MD
NPI 1689720468
Otolaryngology - Facial Plastic Surgery in Portland, OR

Active since January 26, 2007CLIA 38D2178333 · Waiver
2525 NW LOVEJOY ST STE 402, PORTLAND, OR 97210(503) 575-1910 Get Directions Write a Review

NPPES record last updated: February 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael M Kim Md NPPES

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

DR. MICHAEL M KIM MD (NPI 1689720468) is an individual facial plastic surgery provider in Portland, Oregon, licensed in Oregon (MD27979) and active in the NPI registry since January 2007. He holds a CLIA Waiver certificate valid through January 29, 2028.

NPPES Registry Identity

NPI1689720468
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. MICHAEL M KIMCredential: MD
Location Address2525 NW LOVEJOY ST STE 402Portland, OR 97210-2865
Mailing Address2525 Nw Lovejoy St Ste 402Portland, OR 97210-2865 · (503) 575-1910
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateFebruary 2, 2020
NPI 1689720468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Licenses Licensed in OR · MD27979 Licensed in AZ · 42031
Definition
An otolaryngologist who specializes in facial plastic surgery.
2525 NW LOVEJOY ST STE 402, Portland, OR 97210

Other Identifiers 3

Medicaid433505AZ
Medicaid807968400ID
Medicaid218503OR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2178333

Michael M Kim, MD, PC Dba Bridge City Surgery Cent · Portland, OR
Active · expires Jan 29, 2028
CLIA Number38D2178333
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorMichael M. Kim
Laboratory Phone(503) 575-1910
Laboratory LocationMichael M Kim, MD, PC Dba Bridge City Surgery Cent2525 NW Lovejoy, #403, Portland, OR 97210
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine
2525 NW LOVEJOY ST STE 402
PORTLAND, OR 97210

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 Michael Kim's NPI number?

The NPI number for Michael Kim is 1689720468. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Michael Kim located?

Michael Kim practices at 2525 NW Lovejoy St Ste 402, Portland, OR 97210. The listed phone number is (503) 575-1910.

What is Michael Kim's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Does Michael Kim hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2178333) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michael Kim was last updated on February 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.