Organization Active NPI

Anthony H. Lee, M.D. PC

  • Family Medicine Physician
  • Beaverton, OR
National Provider Identifier
1508066267
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15438MD Issued in OR
Legal business name
ANTHONY H. LEE, M.D. PC
Practice address
4670 SW Washington Ave
Beaverton, OR 97005-0530
Phone
(503) 646-5516
Fax
(503) 520-9436
NPI assigned
Jul 20, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Anthony H Lee, M.D.NPI 1497846489
Title
Owner
Phone
(503) 646-5516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 15438MD OR Primary

Addresses

Primary practice location

4670 SW Washington Ave
Beaverton, OR 97005-0530

Mailing address

4670 SW Washington Ave
Beaverton, OR 97005-0530
Phone (503) 646-5516

Other identifiers 1

IdentifierTypeStateIssuer
1497846489OtherORAPPLYING THE ANTHONY H. L

National Provider Directory

National Provider Directory

Locations

4670 SW Washington Ave
Beaverton, OR 97005
Phone (503) 646-5516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1508066267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 SW WASHINGTON AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050530",
            "telephone_number": "503-646-5516",
            "fax_number": "503-520-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 SW WASHINGTON AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050530",
            "telephone_number": "503-646-5516",
            "fax_number": "503-520-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY H. LEE, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-646-5516",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "15438MD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLYING THE ANTHONY H. L",
            "identifier": "1497846489",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.