Individual provider Active NPI

Christina Lee, M.D.

  • Surgery Physician
  • Tualatin, OR
National Provider Identifier
1669739306
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD214549 Issued in OR
Practice address
19250 SW 65TH Ave Ste 260
Tualatin, OR 97062-7747
Phone
(503) 413-5525
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 61927 WI
Surgery Physician 208600000X MD214549 OR Primary

Addresses

Primary practice location

19250 SW 65TH Ave Ste 260
Tualatin, OR 97062-7747

Mailing address

PO Box 3777
Portland, OR 97208-3777

Other practice location 1

Uw Hospital and Clinics 600 Highland Ave
H4/831
Madison, WI 53792-0001
Phone (608) 263-6261

Other identifiers 1

IdentifierTypeStateIssuer
1669739306MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230816001439 OR Practitioner - General Surgery 4981914868 Reassigns benefits to 1 organization
I20240930003517 WA Practitioner - General SurgeryPractitioner - Surgical Oncology 4981914868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

19250 SW 65TH Ave
Suite 265
Tualatin, OR 97062-7747
Phone (503) 413-6862

Hospital & facility affiliations

  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy20
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61927WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince Jul 14, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 1, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 14, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 1, 2024 Accepting new patients

Locations

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

19250 SW 65th Ave
Ste 265
Tualatin, OR 97062
Phone (503) 692-3110

19250 SW 65th Ave
Ste 260
Tualatin, OR 97062
Phone (503) 352-0770

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

2121 NE 139th St
Ste 245
Vancouver, WA 98686
Phone (360) 326-3966

Organizations & group practices 4

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1669739306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19250 SW 65TH AVE STE 260",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627747",
            "telephone_number": "503-413-5525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uw Hospital and Clinics 600 Highland Ave",
            "address_2": "H4/831",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537920001",
            "country_code": "US",
            "telephone_number": "608-263-6261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "61927",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD214549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669739306",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.