NPIMap

Organization Active NPI

Lee Ghorbanian I LTD

  • Rural Acute Care Hospital
  • Portland, OR
National Provider Identifier
1508174285
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
D7463 Issued in OR
Legal business name
LEE GHORBANIAN I LTD
Practice address
13908 SE Stark St
Space B
Portland, OR 97233-2161
Phone
(503) 644-1126
Fax
(503) 644-1126
NPI assigned
Sep 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. John J Lee, DDS
Title
Owner
Phone
(503) 644-1126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X D7463 OR Primary

Addresses

Primary practice location

13908 SE Stark St
Space B
Portland, OR 97233-2161

Mailing address

13908 SE Stark St
Space B
Portland, OR 97233-2161
Phone (503) 644-1126

Other names 1

  • Sunrise Dental of Gresham Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lee Ghorbanian I LTD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13908 SE Stark St
Ste B
Portland, OR 97233
Phone (503) 255-9795

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1508174285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13908 SE STARK ST",
            "address_2": "SPACE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972332161",
            "telephone_number": "503-644-1126",
            "fax_number": "503-644-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13908 SE STARK ST",
            "address_2": "SPACE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972332161",
            "telephone_number": "503-644-1126",
            "fax_number": "503-644-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE GHORBANIAN I LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-644-1126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OR",
            "license": "D7463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental of Gresham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 16, 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.