JAESUNG KIM M.D. – NPI #1962834796
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

JAESUNG KIM is a psychiatry & neurologist located in VANCOUVER, WA. NPPES has assigned the NPI number 1962834796 to JAESUNG KIM on August 02, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was last updated on Jul 23, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAESUNG KIM below.

NPI Profile for
JAESUNG KIM

NPI Number
1962834796
Enumeration Date

(about 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAESUNG KIM
Credentials
M.D.
Primary location
2211 NE 139TH ST
VANCOUVER, WA 98686
Phone: (360) 487-1000 Fax:
4 Other location(s):
2451 Fillingim St
Res Box 7th Floor
Mobile, AL 36617-2238
Phone: (251) 471-7207
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone: (918) 579-1000
Fax: (918) 560-5761
2801 N Gantenbein Ave
Portland, OR 97227
Phone: (503) 413-2200
505 NE 87th Ave Ste 460
Vancouver, WA 98664-1965
Phone: (360) 514-7771
Fax: (360) 514-7769
Mailing address
PO BOX 2777
PORTLAND, OR 97208-2777
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 23, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)		 OK 33238

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JAESUNG KIM is affiliated with the following medical group(s):
  • HOSPITAL
    • PEACEHEALTH SOUTHWEST MEDICAL CENTER
      400 NE MOTHER JOSEPH PLACE
      VANCOUVER, WA 98668

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.