Active NPI
Jee Young Han, DMD
- General Practice Dentistry
- Lake Oswego, OR
National Provider Identifier
1831882893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D11849
- Practice address
- 5 Centerpointe Dr Ste 260
Lake Oswego, OR 97035-8652 - Phone
- (503) 684-4174
- NPI assigned
- May 26, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D11849 | OR | Primary |
Addresses
Primary practice location
5 Centerpointe Dr Ste 260
Lake Oswego, OR 97035-8652
Mailing address
14628 NW Wendy LN
Portland, OR 97229-9262
Phone (608) 770-5587
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 |
|---|---|---|---|
| D11849 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1831882893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14628 NW WENDY LN",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972299262",
"telephone_number": "608-770-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CENTERPOINTE DR STE 260",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970358652",
"telephone_number": "503-684-4174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "JEE YOUNG",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2023-11-27",
"certification_date": "2023-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D11849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.