Active NPI
Jesse Lee
- Emergency Medicine Physician
- Clackamas, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DOS-2116
- Practice address
- 10180 SE Sunnyside Rd
Clackamas, OR 97015-8970 - Phone
- (503) 571-2880
- NPI assigned
- Feb 13, 2015
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DOS-2116 | HI | Primary |
Addresses
Primary practice location
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Mailing address
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.72 of 100
- Quality
- 67.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Observation Associates PC | Current | Accepting new patients | |
| Kauai Medical Clinic | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Emergency Medicine | Current | Accepting new patients |
| Beaverton Rehab & Specialty Care, LLC | Current | Accepting new patients | |
| Kauai Medical Clinic | Current | Accepting new patients | |
| Northwest Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients |
Locations
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500
3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500
10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
500 NE Multnomah St
Fl 11
Portland, OR 97232
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000
3290 W 19th Ave
Kennewick, WA 99337
Phone (509) 942-2485
1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
Emergency Medicine
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Internal Medicine Physician
- Federal Way, WA
- NPI 1023539376
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- Skilled Nursing Facility
- Beaverton, OR
- NPI 1366469330
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
- Multi-Specialty Clinic/Center
- Lihue, HI
- NPI 1376596643
-
- Durable Medical Equipment & Medical Supplies
- Koloa, HI
- NPI 1871611558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1306237250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10180 SE SUNNYSIDE RD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970158970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10180 SE SUNNYSIDE RD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970158970",
"telephone_number": "503-571-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JESSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-13",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "DOS-2116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.