Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAEBOM KIM APRN
NPI 1861109555
Nurse Practitioner - Primary Care in Lake Oswego, OR

Q: What is Saebom Kim's NPI number?

The NPI number for Saebom Kim is 1861109555. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Q: What is Saebom Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Saebom Kim was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since November 01, 2022PECOS Enrolled

4550 KRUSE WAY STE 125, LAKE OSWEGO, OR 97035(503) 701-2490(866) 663-5826 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 18, 2026, Jul 28, 2023, Jul 4, 2023 and 1 more (4 updates tracked since 2022).

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About Saebom Kim Aprn NPPES

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

SAEBOM KIM APRN (NPI 1861109555) is an individual primary care provider in Lake Oswego, Oregon, licensed in Oregon (10014088) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861109555

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameSAEBOM KIMCredential: APRN

Location Address4550 KRUSE WAY STE 125Lake Oswego, OR 97035-3533

Mailing Address4550 Kruse Way Ste 125Lake Oswego, OR 97035-3533 · (971) 803-8383

Phone(503) 701-2490

Fax(866) 663-5826

Sole ProprietorYes

Enumeration DateNovember 1, 2022

Last NPPES UpdateAugust 18, 20264 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1861109555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Licenses✔ Licensed in OR · 10014088✔ Licensed in WA · AP61683297

Also ListedNurse PractitionerTaxonomy 363L00000X · License 11022905 (FL)

4550 KRUSE WAY STE 125, Lake Oswego, OR 97035

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saebom Kim Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

202 services202 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

194 services194 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

122 services122 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

62 services62 patients

Diagnostic exam of voice box using an endoscope 31525

This procedure involves the use of a thin, flexible instrument called an endoscope to examine the voice box. The endoscope is gently inserted through the nose or mouth to provide a clear view of the voice box. It helps in diagnosing issues related to speech, breathing, or swallowing.

59 services59 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

42 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

JARED PAUL MARTIN NP

Nurse Practitioner (Family)