Active NPI
Pauline Lee
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Bellevue, WA
National Provider Identifier
1609949072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH00064203
- Practice address
- 3550 Factoria Blvd SE
Bellevue, WA 98006-6126 - Phone
- (425) 378-0202
- Fax
- (425) 378-0225
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH00064203 | WA | Primary |
Addresses
Primary practice location
3550 Factoria Blvd SE
Bellevue, WA 98006-6126
Mailing address
16072 Reserve Dr SE
North Bend, WA 98045-6201
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00064203 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1609949072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16072 RESERVE DR SE",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "980456201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 FACTORIA BLVD SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980066126",
"telephone_number": "425-378-0202",
"fax_number": "425-378-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PAULINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH00064203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.