Provider Demographics
NPI:1073769592
Name:KIM, DONNA HYUNCHUNG (MD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:HYUNCHUNG
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:3303 SW BOND AVENUE
Mailing Address - Street 2:CASEY EYE PHYSICIANS AND SURGEONS, OHSU, 11TH FLOOR
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239
Mailing Address - Country:US
Mailing Address - Phone:503-494-3000
Mailing Address - Fax:503-418-0049
Practice Address - Street 1:3303 SW BOND AVENUE
Practice Address - Street 2:CASEY EYE PHYSICIANS AND SURGEONS, OHSU, 11TH FLOOR
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4501
Practice Address - Country:US
Practice Address - Phone:503-494-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD152819207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology