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

Sophia Jihae Kim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154785749

Sophia Jihae Kim, MD is a Family Practice in Vancouver, Washington. Qualified in 2012, 14 years ago. Practices with Peacehealth, a 248-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
14
Licensed in
WA
In the registry since
2016
Specialties on file
2
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Vancouver, WA
Fax: (360) 729-3079

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1615 Delaware St, Longview, WA 98632-2367 — (360) 414-2385

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60935101 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154785749
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2016
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Peacehealth — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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