Active NPI
Bryant Lee
- Pharmacist
- Hillsboro, OR
National Provider Identifier
1073896759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9577
- Practice address
- 2021 NW 185TH Ave
Hillsboro, OR 97124-7073 - Phone
- (503) 645-7704
- NPI assigned
- Sep 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9577 | OR | Primary |
Addresses
Primary practice location
2021 NW 185TH Ave
Hillsboro, OR 97124-7073
Mailing address
16353 SW Cornelian Way
Beaverton, OR 97007-8849
Phone (503) 810-3887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9577 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1073896759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16353 SW CORNELIAN WAY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970078849",
"telephone_number": "503-810-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 NW 185TH AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247073",
"telephone_number": "503-645-7704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BRYANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "9577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.