Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Sunday, April 28, 2024 1:44 PM CDT
Next Update: Sunday, April 28, 2024 4:30 PM CDT

Return to Search Licensees page

KIM, JOSHUA JISU
Practice Address: PROVIDENCE
9427 SW BARNES ROAD SUITE 395
PORTLAND OR 97225

Address last updated on 4/22/2024
Phone #: (503) 216-6050
Fax #:
County: NOT OKLAHOMA
License: 42863
Dated: 3/22/2024
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Child Neurology
Clinical Neurophysiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: ST LOUIS UNIV SCH OF MED, ST LOUIS MO 63104
Graduated: 5 / 2013
CME Year: 2027
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY - Clinical Neurophysiology
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY - Child Neurology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PROVIDENCE
9427 SW BARNES ROAD SUITE 395
PORTLAND OR 97225

Phone #: (503) 216-6050
Fax #:

Return to Search Licensees page