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

Larry J. Kim

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1639411838

Larry J. Kim is a Physical Medicine & Rehabilitation Physician in Portland, Oregon. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2013

Practice location Address checks out

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Phone: (000) 000-0000
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 64354-20 (WI)

Record details

NPI number1639411838
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 26, 2013
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964

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