Provider Demographics
NPI:1023312642
Name:CHRISTOPHER N LIM,MD PC
Entity type:Organization
Organization Name:CHRISTOPHER N LIM,MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:NYENHON
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-231-0377
Mailing Address - Street 1:5050 NE HOYT ST
Mailing Address - Street 2:SUITE 610
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-2944
Mailing Address - Country:US
Mailing Address - Phone:503-231-0377
Mailing Address - Fax:503-231-2816
Practice Address - Street 1:5050 NE HOYT ST
Practice Address - Street 2:SUITE 610
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-2944
Practice Address - Country:US
Practice Address - Phone:503-231-0377
Practice Address - Fax:503-231-2816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-23
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR233858Medicaid
OR233858Medicaid
OROOWCJBBAMedicare PIN