DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GRACE JEE-YEON LEE M.D.

MEDICARE:   GRACE JEE-YEON LEE  M.D.
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
1207Q00000XFamily Medicine PhysicianA87977CA
2207Q00000XFamily Medicine PhysicianMD154466OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992857213
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE JEE-YEON LEE M.D.
Provider Business Mailing Address
First Line : 421 SW OAK ST.
Second Line : STE. 210
City : PORTLAND
State : OR
Zip : 97204
Country : US
Telephone Number : 503-988-3663
Fax Number : 503-988-3015
Provider Business Practice Location Address
First Line : 9000 N LOMBARD ST
Second Line :
City : PORTLAND
State : OR
Zip : 97203-3006
Country : US
Telephone Number : 503-988-5304
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 03/20/2012

Similar Medicare Providers

1609824754 — KAREN M ERDE MD
Practice Location Address:
9000 N LOMBARD ST
PORTLAND, OR
97203-3006
Practice Phone: 503-988-3663
Practice Fax: 503-988-5305
1205841004 — MULTNOMAH COUNTY
Practice Location Address:
9000 N LOMBARD ST FL 2
PORTLAND, OR
97203-3006
Practice Phone: 503-988-5308
Practice Fax: 503-988-4345
1902990757 — LINSEY ELAINE ZOCCO PA-C
Practice Location Address:
9000 N LOMBARD ST
PORTLAND, OR
97203-3006
Practice Phone: 503-988-5558
Practice Fax: 39-885-3055
1093866634 — DR. ORA NAOMI BOTWINICK MD
Practice Location Address:
9000 N LOMBARD ST
PORTLAND, OR
97203-3006
Practice Phone:
Practice Fax:
1609914787 — MULTNOMAH COUNTY
Practice Location Address:
9000 N LOMBARD ST
PORTLAND, OR
97203-3006
Practice Phone: 503-988-7462
Practice Fax: 503-988-5305
1245569326 — DR. ANNE W CLARK PSY.D.
Practice Location Address:
9000 N LOMBARD ST
PORTLAND, OR
97203-3006
Practice Phone: 503-988-5304
Practice Fax: 503-988-5305

Directions to “ GRACE JEE-YEON LEE M.D.” 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.