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

Edward Kim

Individual provider Chiropractor · NPI 1922793371

Edward Kim is a Chiropractic in Tigard, Oregon. Qualified in 2022, 4 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2023

Practice location Address checks out

12005 SW 70th Ave
Tigard, OR 97223-9634
Phone: (503) 208-3579
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 6301 (OR)

Record details

NPI number1922793371
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2023
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address12905 Sw Wilmington Ln, Tigard, OR 97224-1794

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tigard