Hyungsup Lee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10365 Issued in OR

Practice address

1316 SW 13TH Ave
Portland, OR 97201-3355

Phone

(503) 235-0555

Fax

(503) 558-5200

NPI assigned

Dec 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Advanced Dental Arts NW

  • Dentist
  • Portland, OR
  • NPI 1376991240
  NPD (past)
• NW Implant Center LLC

  • Dental Clinic/Center
  • Portland, OR
  • NPI 1861082638
  NPD (past)

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1972968345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 SW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013355",
            "telephone_number": "503-235-0555",
            "fax_number": "503-558-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 SW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013355",
            "telephone_number": "503-235-0555",
            "fax_number": "503-558-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 NE 122nd Avenue",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97230",
            "country_code": "US",
            "telephone_number": "503-922-2020",
            "fax_number": "971-420-1008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "HYUNGSUP",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-29",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haerim Lee
• Harold G Lee, M.D.
• Henrik David Lee, PHARMD
• Hillary Chiao Lee, MD
• Hwi Jo Lee
• Ina Lee, PHARMD
• Jacky Lee
• Jaimie Marie Lee, MSW, LICSW, LCSW
• James Michael Lee, MPT
• Jamie Lee, RD

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.