Provider Demographics
NPI:1598746166
Name:CHOO, ESTHER KIM (MD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:KIM
Last Name:CHOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-7008
Practice Address - Fax:503-494-4997
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT043210207P00000X
CAA94742207P00000X
ORMD27459207P00000X
RIMD13108207P00000X
ORMD174958207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIEC77799Medicaid
MA110084234AMedicaid
RI01-26-2010OtherBCBS
RI12-10-2009OtherNHPRI
RI939025120OtherUEMF RI MEDICARE GROUP
RI001370201OtherRI MEDICARE
MA11-24-2009OtherTUFTS HEALTH PLAN
RI11-01-2009OtherUNITED HEALTHCARE
RI1962455022OtherUEMF NPI
RI939025120OtherUEMF RI MEDICARE GROUP