LEE PRACTICE II – NPI #1962809863
Clinic/Center

LEE PRACTICE II is an AHC clinic located in PORTLAND, OR. NPPES has assigned the NPI number 1962809863 to LEE PRACTICE II on November 21, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

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 LEE PRACTICE II below.

NPI Profile for
LEE PRACTICE II

NPI Number
1962809863
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEE PRACTICE II
Primary location
1401 SE MORRISON ST
STE 120
PORTLAND, OR 97214
Phone: (503) 953-0000 Fax:
Mailing address
2150 NE DIVISION ST
STE 201
GRESHAM, OR 97030
Phone: (503) 953-0000 Fax:
Organization Subpart
No
Authorized Official
JIYOUNG LEE
PRESIDENT
Phone: (503) 953-0000
Updated
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
261QD0000X
- Clinic/Center / Dental (Primary)		 OR D8776

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.