Individual provider Active NPI

Joon Hee Lee, L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1083793079
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00843 Issued in OR
Practice address
3025 SW Corbett Ave
Portland, OR 97201-4858
Phone
(503) 552-1551
Fax
(503) 226-8133
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00843 OR Primary

Addresses

Primary practice location

3025 SW Corbett Ave
Portland, OR 97201-4858

Mailing address

4203 SE Hawthorne Blvd Ste a
Portland, OR 97215-3160
Phone (503) 997-2327

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

LicenseStateTypeSpecialty
AC00843ORMDAcupuncturist

Interoperability endpoints

  • Direct secure messaging: joonhee.lee@269245733470212.direct.elationemr.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1083793079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 SE HAWTHORNE BLVD STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153160",
            "telephone_number": "503-997-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SW CORBETT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014858",
            "telephone_number": "503-552-1551",
            "fax_number": "503-226-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOON HEE",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.