Yu Jin Lee, Lac.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

YU JIN LEE, LAC.

Practice address

8283 SW Barbur Blvd
Portland, OR 97219-2871

Phone

(503) 244-1330

NPI assigned

Jan 8, 2016

Last updated

Jan 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Yu Jin Lee, LAC.

Title

Owner

Phone

(503) 961-4688

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1619333424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 SE 16TH AVE",
            "address_2": "UPPER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021164",
            "telephone_number": "503-961-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 SW BARBUR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192871",
            "telephone_number": "503-244-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YU JIN LEE, LAC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YU JIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-961-4688",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "AC01282",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCAOM",
            "identifier": "112693",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Edward Theodore Ysunza IV
• Becky Yu
• Dylan Yu, MD
• In Hyong Yu, LAC
• Jennifer V Yu, PHARMD
• Jessica Xinyao Yu, MD

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.