Active NPI
Katherine L Lee, OTR/L
- Occupational Therapist
- Portland, OR
National Provider Identifier
1124403811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 330980
- Practice address
- 319 NE Russet St
Portland, OR 97211-2815 - Phone
- (503) 289-5571
- NPI assigned
- Jul 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 330980 | OR | Primary |
| Occupational Therapist | 225X00000X | OT 60503065 | WA |
Addresses
Primary practice location
319 NE Russet St
Portland, OR 97211-2815
Mailing address
319 NE Russet St
Portland, OR 97211-2815
Phone (503) 289-5571
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 |
|---|---|---|---|
| 330980 | OR | MD | Occupational Therapist |
| OT 60503065 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1124403811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 NE RUSSET ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972112815",
"telephone_number": "503-289-5571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 NE RUSSET ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972112815",
"telephone_number": "503-289-5571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KATHERINE",
"middle_name": "L",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-23",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "330980",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT 60503065",
"primary": false
}
],
"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 Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.