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NPI Verification

National Provider Identifier: 1861412884

Kathy Kiryang Bak, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

PO BOX 3158

PORTLAND, OR 972083158

Phone: 503-215-6494

NPI Enumeration Date

July 20, 2006

NPI Number

1861412884

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry