Active NPI
Min Kuk Lee, MD
- Family Medicine Physician
- Portland, OR
National Provider Identifier
1548693104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD203297
- Practice address
- 10803 SE Cherry Blossom Dr
Portland, OR 97216-3107 - Phone
- (503) 261-7200
- Fax
- (503) 261-7226
- NPI assigned
- Aug 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD203297 | OR | Primary |
| Family Medicine Physician | 207Q00000X | MD60861176 | WA |
Addresses
Primary practice location
10803 SE Cherry Blossom Dr
Portland, OR 97216-3107
Mailing address
10803 SE Cherry Blossom Dr
Portland, OR 97216-3107
Phone (503) 261-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136341 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oregon Health Sciences University School of Medicine, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5909 SE 92ND Ave
Portland, OR 97266-4642
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Tabor Family Physicians | Family Medicine | Past | Accepting new patients |
| Valeria Health, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1548693104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10803 SE CHERRY BLOSSOM DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972163107",
"telephone_number": "503-261-7200",
"fax_number": "503-261-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10803 SE CHERRY BLOSSOM DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972163107",
"telephone_number": "503-261-7200",
"fax_number": "503-261-7226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MIN",
"middle_name": "KUK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-17",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD203297",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60861176",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2136341",
"state": "WA"
}
],
"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 Aug 10, 2026; 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.