Active NPI
Chanmi Christine Lee, RPH
- Pharmacist
- Portland, OR
National Provider Identifier
1770984973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13275
- Practice address
- 4200 SE 82ND Ave
Portland, OR 97266 - Phone
- (503) 788-0400
- Fax
- (503) 788-1117
- NPI assigned
- Sep 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03226553-02 | OH | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | ORRPH13275 | OR | |
| Pharmacist | 183500000X | 13275 | OR | Primary |
Addresses
Primary practice location
4200 SE 82ND Ave
Portland, OR 97266
Mailing address
12708 NW Milazzo LN
Portland, OR 97229-9366
Phone (480) 570-8722
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03226553-02 | OH | MD | Pharmacist |
| 13275 | OR | MD | Pharmacist |
| ORRPH13275 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1770984973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12708 NW MILAZZO LN",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972299366",
"telephone_number": "480-570-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 SE 82ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97266",
"telephone_number": "503-788-0400",
"fax_number": "503-788-1117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHANMI",
"middle_name": "CHRISTINE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03226553-02",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "ORRPH13275",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "13275",
"primary": true
}
],
"identifiers": [],
"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 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.