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

Dr. Song Jin Sunny Kim, MD

Individual provider Internal Medicine Physician · NPI 1275685455

Dr. Song Jin Sunny Kim, MD practises Internal Medicine in Portland, Oregon. Graduated from New York University School of Medicine in 1995, 31 years ago. Practices with Legacy Salmon Creek Hospital, a 313-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
31
Trained at
New York University School of Medicine
Licensed in
OR
In the registry since
2007
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

426 SW Stark St 8th Fl
Portland, OR 97204-2347 Not confirmed with CMS for 16 years — call before visiting
Phone: (503) 988-3674
Fax: (503) 988-5305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD23572 (OR)

Record details

NPI number1275685455
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 17, 2007
Last updated in NPPESDecember 18, 2009

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Legacy Salmon Creek Hospital — 313 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients120
Services billed 401 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Legacy Salmon Creek Medical Center Hospital · Vancouver, WA

Colleagues at Legacy Salmon Creek Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 313 clinicians in the practice; 12 are shown here.

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