Individual provider Active NPI

Hyeran Scarlet Lee

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1306210760
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10020578 Issued in OR
Practice address
3425 SE 192ND Ave Ste 106
Vancouver, WA 98683-1440
Phone
(360) 205-2960
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10020578 OR Primary
Family Nurse Practitioner 363LF0000X 10020578 WA

Addresses

Primary practice location

3425 SE 192ND Ave Ste 106
Vancouver, WA 98683-1440

Mailing address

4500 SE Columbia Palisades Dr
Camas, WA 98607-8444

Other practice location 1

2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Phone (503) 666-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO, OR, WA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20161221000447 CA Practitioner - Nurse Practitioner 3476849985 Reassigns benefits to 1 organization
I20200813002930 CO Practitioner - Nurse Practitioner 3476849985 Reassigns benefits to 1 organization
I20250401001823 OR Practitioner - Nurse Practitioner 3476849985 Reassigns benefits to 1 organization
I20250401002200 WA Practitioner - Nurse Practitioner 3476849985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

2870 SW Cedar Hills Blvd
Beaverton, OR 97005-1354
Phone (503) 646-9222

3425 SE 192ND Ave
Suite 106
Vancouver, WA 98683-1440
Phone (360) 205-2960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0995580COMDFamily Nurse Practitioner
10020578ORMDFamily Nurse Practitioner
10020578WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mednow Clinics, Inc CurrentSince Feb 8, 2021 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Aug 22, 2016 Accepting new patients
Legacy Clinics LLC CurrentSince Mar 12, 2025 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Aug 22, 2016 Accepting new patients
Pahs Onpoint Urgent Care LLC Current Accepting new patients
Pahs Onpoint Urgent Care LLC CurrentSince Aug 9, 2022 Accepting new patients
Legacy Clinics LLC CurrentSince Mar 12, 2025 Accepting new patients
Urgent Care Centennial PC CurrentSince Jun 13, 2023 Accepting new patients
New West Physicians Inc Past Accepting new patients
Legacy Salmon Creek Hospital Past Accepting new patients
Legacy Mount Hood Medical Center PastSince Mar 13, 2025 Accepting new patients

Locations

8110 Mango Ave
Fontana, CA 92335
Phone (909) 427-1303

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

34845 Yucaipa Blvd
Ste A
Yucaipa, CA 92399
Phone (909) 500-7971

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016
Phone (303) 330-0410

15101 E Iliff Ave
Ste 140
Denver, CO 80014
Phone (303) 584-7850

8006 E Arapahoe Rd
Unit 100
Englewood, CO 80112
Phone (303) 220-9168

9205 S Broadway
Highlands Ranch, CO 80129
Phone (303) 330-0271

1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559

2870 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 646-9222

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050

9361 SE 82nd Ave
Happy Valley, OR 97086
Phone (503) 457-4301

3 Monroe Pkwy
Ste X
Lake Oswego, OR 97035
Phone (503) 679-3748

1900 McLoughlin Blvd
Ste 67
Oregon City, OR 97045

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

4800 SW 76th Ave
Portland, OR 97225
Phone (971) 808-0665

21900 Willamette Dr
Ste 209
West Linn, OR 97068
Phone (971) 274-0038

200 NE Mother Joseph Pl
Ste 410
Vancouver, WA 98664
Phone (503) 413-3580

305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912

3425 SE 192nd Ave
Ste 106
Vancouver, WA 98683
Phone (360) 205-2960

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1306210760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SE COLUMBIA PALISADES DR",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 SE 192ND AVE STE 106",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831440",
            "telephone_number": "360-205-2960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2850 SE Powell Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970801494",
            "country_code": "US",
            "telephone_number": "503-666-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "HYERAN",
        "middle_name": "SCARLET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10020578",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "10020578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.