{
"Npi": {
"NPI": "1649234527",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LEE",
"FirstName": "CARMA",
"MiddleName": "J",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HENDRIX",
"OtherFirstName": "CARMA",
"OtherMiddleName": "J",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "7632 SW DURHAM RD STE 130",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TIGARD",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97224-7584",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-261-8599",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7632 SW DURHAM RD STE 130",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TIGARD",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97224-7584",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "503-261-8599",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/17/2006",
"LastUpdateDate": "03/07/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "MD21672",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}