Healthcare Provider Details

I. General information

NPI: 1740239342
Provider Name (Legal Business Name): VICKY H LEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HUA LI MD

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11511 CANTERWOOD BLVD STE 315
GIG HARBOR WA
98332-5813
US

IV. Provider business mailing address

11511 CANTERWOOD BLVD STE 315
GIG HARBOR WA
98332-5813
US

V. Phone/Fax

Practice location:
  • Phone: 253-530-2690
  • Fax: 253-530-2529
Mailing address:
  • Phone: 253-530-2690
  • Fax: 253-530-2529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD00048514
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD00048514
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: