Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jaesung Kim, MD

Individual provider Neurology Physician · NPI 1962834796

Dr. Jaesung Kim, MD is a Neurology in Vancouver, Washington. Qualified in 2009, 17 years ago. Practices with Legacy Salmon Creek Hospital, a 313-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma, Oregon and Washington.

Years since qualifying
17
Licensed in
OK, OR, WA
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2211 NE 139th St
Vancouver, WA 98686
Phone: (360) 487-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2451 Fillingim St, Mobile, AL 36617-2238 — (251) 471-7207
  • 1120 S Utica Ave, Tulsa, OK 74104-4012 — (918) 579-1000
  • 2801 N Gantenbein Ave, Portland, OR 97227 — (503) 413-2200
  • 505 Ne 87th Ave Ste 460, Vancouver, WA 98664-1965 — (360) 514-7771

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD61054444 (WA)
Neurology Physician Taxonomy 2084N0400X · Licence 33238 (OK)
Neurology Physician Taxonomy 2084N0400X · Licence MD226000 (OR)

Record details

NPI number1962834796
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2013
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing addressPo Box 2777, Portland, OR 97208-2777

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Legacy Salmon Creek Hospital — 313 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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