Active NPI
Donnie Lee, M.D.
- Family Medicine Physician
- Portland, OR
National Provider Identifier
1467780262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD19552
- Practice address
- 1220 SW 3Rd Ave
Suite 476
Portland, OR 97204-2802 - Phone
- (503) 326-2017
- Fax
- (503) 326-7280
- NPI assigned
- Dec 7, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD19552 | OR | Primary |
Addresses
Primary practice location
1220 SW 3Rd Ave
Suite 476
Portland, OR 97204-2802
Mailing address
1220 SW 3Rd Ave
Suite 476
Portland, OR 97204-2802
Phone (503) 326-2017
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19552 | OR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1467780262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 SW 3RD AVE",
"address_2": "SUITE 476",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972042802",
"telephone_number": "503-326-2017",
"fax_number": "503-326-7280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 SW 3RD AVE",
"address_2": "SUITE 476",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972042802",
"telephone_number": "503-326-2017",
"fax_number": "503-326-7280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DONNIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-07",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD19552",
"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 Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.