John S Lee MD, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD21988 Issued in OR

Legal business name

JOHN S LEE MD, PC

Practice address

2363 NW Flanders St
Portland, OR 97210-3409

Phone

(503) 228-5432

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gina Lutes

Title

Practice Manager

Phone

(503) 228-5432

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1437346558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 NW FLANDERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103409",
            "telephone_number": "503-228-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 NW FLANDERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103409",
            "telephone_number": "503-228-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S LEE MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "LUTES",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "503-228-5432",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD21988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134213",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J Park LLC
• John L V Platt, DC PC
• John Lenkin, LLC
• John M Barnes DPM LLC
• John Pham DDS PC
• John T. Pham, DO, PC
• John Worthington DDS, PC
• Elizabeth Ellen John, L.M.T.
• Jeffrey John, PHARMACY TECHNICIAN
• Jessica Lynn John, LMT

• Plastic Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Plastic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.