Individual ProviderTaehee KimInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1331 Colby Ave, Everett, WA 98201(425) 261-2000(866) 747-2455PECOS EnrollmentBased on the most recent information from CMS, provider Taehee Kim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1528163615Provider TypeIndividualFull NameKim, TaeheeCredentialMDGenderFemaleSole ProprietorNoEnumeration Date9/13/2006Last Updated3/29/2021Contact InformationPractice LocationPractice Address1331 Colby Ave, Everett, WA 98201Phone(425) 261-2000FaxUnlisted FaxMailing LocationMailing AddressPO Box 3360, Portland, OR 97208-3360Phone(866) 747-2455FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD00042303WashingtonCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseMD00042303Washington