Seunghoon Paul Lee, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC213507 Issued in OR

Practice address

12778 SE Stark St BLDG B
Portland, OR 97233-1539

Phone

(503) 317-3113

Fax

(503) 459-4709

NPI assigned

Jan 23, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brian Lee Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Lu'S Acupunture & Massage Clinic, LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1790097772
  NPD (past)
• Serene Care Inc.

  • Clinic/Center
  • Portland, OR
  • NPI 1598056772
  NPD (past)

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1750193090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 NW FLANDERS ST APT 609",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093856",
            "telephone_number": "571-245-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12778 SE STARK ST BLDG B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331539",
            "telephone_number": "503-317-3113",
            "fax_number": "503-459-4709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7411 SE Powell Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972062451",
            "country_code": "US",
            "telephone_number": "503-762-1122",
            "fax_number": "503-762-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEUNGHOON",
        "middle_name": "PAUL",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC213507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "LEE",
            "credential": "LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebekah Lee
• Roland Lee, D.M.D.
• Roy Yeong Lee, LMT #023272
• Ryan Geoffery Lee, RN
• Sanyup J Lee, MD
• Shane Kwok Lee, M.D.
• Sharon Christine Lee, DO
• Shelby Lynn Lee
• Shelly Lee, PHARMD
• Sophia Irene Lee, 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 23, 2025; 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.