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

Sunny Kim

Individual provider Psychiatry Physician · NPI 1902003080

Sunny Kim is a Psychiatry in Medford, Oregon. Graduated from University of Washington School of Medicine in 2007, 19 years ago. Practices with Fanno Creek Clinic LLC, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
19
Trained at
University of Washington School of Medicine
Licensed in
OR
In the registry since
2007
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Practice location Address checks out

503 Airport Rd Ste 101
Medford, OR 97504-4159
Phone: (541) 200-2900
Fax: (541) 200-2948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8041 E Burnside St, Portland, OR 97215-1548 — (503) 252-3304

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD160582 (OR)

Record details

NPI number1902003080
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2007
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022
Mailing address3587 Heathrow Way, Medford, OR 97504-4004

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Fanno Creek Clinic Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Medford