Individual provider Active NPI

Jamie Samantha McDonald Lee, ASSOCIATE MFT

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1225804834
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
R8732 Issued in OR
Practice address
7831 SE Stark St Ste 211
Portland, OR 97215-2313
Phone
(510) 333-9433
NPI assigned
Nov 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X R8732 OR Primary

Addresses

Primary practice location

7831 SE Stark St Ste 211
Portland, OR 97215-2313

Mailing address

100 N Howard St
Spokane, WA 99201-0508
Phone (510) 333-9433

Other practice location 1

9801 NE 366th St
LA Center, WA 98629-4281
Phone (510) 333-9433

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
R8732ORMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1225804834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "510-333-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 SE STARK ST STE 211",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152313",
            "telephone_number": "510-333-9433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9801 NE 366th St",
            "address_purpose": "LOCATION",
            "city": "LA Center",
            "state": "WA",
            "postal_code": "986294281",
            "country_code": "US",
            "telephone_number": "510-333-9433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMIE",
        "middle_name": "SAMANTHA MCDONALD",
        "credential": "ASSOCIATE MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "R8732",
            "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 Nov 27, 2023; 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.