MEDICARE: DR. FAY H LEE DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4339	OR

General Provider Information

NPI Number	:	1104812320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FAY H LEE DMD

Provider Business Mailing Address
First Line	:	2505 SE HAWTHORNE BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-3970
Country	:	US
Telephone Number	:	503-232-3102
Fax Number	:

Provider Business Practice Location Address
First Line	:	2505 SE HAWTHORNE BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-3970
Country	:	US
Telephone Number	:	503-232-3102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1881866788 — BELLA SMILE DENTAL LLC
Practice Location Address:

2505 SE HAWTHORNE BLVD
PORTLAND, OR
97214-3970

Practice Phone: 503-232-3102
Practice Fax: 503-232-4021

1710136221 — FRIENDLY SMILES DENTAL GROUP
Practice Location Address:

2505 SE HAWTHORNE BLVD , SUITE B
PORTLAND, OR
97214-3970

Practice Phone: 503-232-3102
Practice Fax:

1366546913 — SHERYL DUNN WATSON LPC, LMHC, CCMHC
Practice Location Address:

4800 S MACADAM AVE STE 350
PORTLAND, OR
97239-3970

Practice Phone: 503-684-7948
Practice Fax: 503-715-1830

1013001692 — RANDI WEBER THOMA LPC
Practice Location Address:

4800 S MACADAM AVE STE 350
PORTLAND, OR
97239-3970

Practice Phone: 503-684-7948
Practice Fax: 503-684-7958

1386418457 — RANDI WEBER, LPC PC
Practice Location Address:

4800 S MACADAM AVE STE 350
PORTLAND, OR
97239-3970

Practice Phone: 503-684-7948
Practice Fax: 503-715-1830

1750240800 — GABRIELLE CHRISTINE CORTES
Practice Location Address:

211 SE CARUTHERS ST
PORTLAND, OR
97214-4502

Practice Phone: 503-224-1044
Practice Fax:

Directions to “ DR. FAY H LEE DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.