ANNA LEE (NPI# 1114479458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114479458 |
Entity Type | Individual |
Full Name | ANNA LEE |
Credential | PAC |
Practice Address |
24076 Se Stark St Suite 230 Gresham OR 97030-3373 |
Mailing Address |
847 Ne 19th Ave Suite 300 Portland OR 97232-2684 |
Practice Telephone | 5034882600 |
Practice Fax Number | 5034655468 |
Mailing Telephone | 5039632801 |
Mailing Fax Number | 5039632825 |
Enumeration Date | 2016-11-03 |
Last Update Date | 2017-05-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA179891 | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500718081 | 05 | |
WA | 2069949 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902416639 | Anna Lee | Dentist | 666 Plainsboro Rd Ste 408, Plainsboro, NJ 08536-3009 | 2020-08-06 |
1619596160 | Anna K Lee | Pharmacist | 9665 Highway 150, Greenville, IN 47124-9233 | 2020-04-14 |
1417517855 | Anna Jayoung ' Lee | Student in an Organized Health Care Education/Training Program | 2347 5th Ave., Mckeesport, PA 15132 | 2019-06-18 |
1871977470 | Anna Lee | Optometrist | 5901 W Behrend Dr Apt 2006, Glendale, AZ 85308-6945 | 2015-07-13 |
1205199551 | Anna K Lee | Pharmacist | 19881 State Route #2, Monroe, WA 98272 | 2012-06-21 |
1417237058 | Anna Lee | Radiology | 225 East 126th St, New York, NY 10087-2012 | 2011-08-26 |
1023348513 | Anna Lee | Dentist | 18440 N 68th St Apt 2003, Phoenix, AZ 85054-9135 | 2010-01-05 |
1730324195 | Anna Lee | Counselor | 372 Mclaws Cir, Suite 2, Williamsburg, VA 23185-5648 | 2008-12-12 |
1386856755 | Anna Marie Lee | Dentist | 1403 Weatherly Plz Se, Suite 100, Huntsville, AL 35803-2637 | 2007-05-05 |
1700949401 | Anna D Lee | Physical Medicine & Rehabilitation | 120 Charlotte Pl Lowr Level, Englewood Cliffs, NJ 07632 | 2006-12-18 |
Street Address |
24076 SE STARK ST SUITE 230 |
City | GRESHAM |
State | OR |
Zip Code | 97030-3373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720070873 | Shammai Rockove | Urology | 24076 Se Stark St, Suite 310, Gresham, OR 97030-3373 | 2005-08-16 |
1538659578 | Claire Valentine | Physical Therapist | 24076 Se Stark St, Gresham, OR 97030 | 2018-05-15 |
1598289282 | Stephen Matthew Block | Physical Therapist | 24076 Se Stark St, Gresham, OR 97030-3373 | 2017-08-03 |
1265801070 | Patrick Clinton | Physical Therapist | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 | 2015-09-22 |
1932548161 | Jenna Lee Esterberg | Physician Assistant | 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 | 2013-06-20 |
1922371947 | Armworks Hand Therapy, LLC | Durable Medical Equipment & Medical Supplies | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 | 2012-02-22 |
1225311210 | Shelley Piers-vanderploeg | Physical Therapist | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 | 2011-09-26 |
1932497518 | Christina Doughty | Physician Assistant | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3373 | 2011-07-15 |
1205130473 | Jennifer Robyn Briggs | Audiologist | 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 | 2011-01-03 |
1194953125 | John Gunselman | Urology | 24076 Se Stark St, Suite 310, Gresham, OR 97030 | 2009-06-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
Find all providers in zip 97030 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245256981 | Jess M Meyer | Physician Assistant | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3373 | 2006-07-14 |
1881687945 | Cheryl A Springer | Physician Assistant | 24076 Se Stark St, Suite 310, Gresham, OR 97030-3373 | 2005-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
1801321039 | Devin Fleming | Physician Assistant | 22936 Ne Pike St, Troutdale, OR 97060-2615 | 2017-04-25 |
1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
1518366863 | Latoya Allen | Physician Assistant | 2450 Highgate St, Unit 12, Medford, OR 97501-7955 | 2014-08-21 |
1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.