BRIAN LEE (NPI# 1619125820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619125820 |
Entity Type | Individual |
Full Name | BRIAN LEE |
Credential | MC, LSC |
Practice Address |
2200 E Ellendale Ave Dallas OR 97338-9353 |
Mailing Address |
4706 Caribou Dr Sw Albany OR 97321-5886 |
Practice Telephone | 5036235588 |
Enumeration Date | 2008-08-29 |
Last Update Date | 2014-07-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
10434124 | OR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295296598 | Brian Kisub Lee | Chiropractor | 3948 Wilshire Blvd # 200, Los Angeles, CA 90010-3303 | 2019-03-28 |
1639644859 | Brian Lee | Dentist | 1100 Park Pl Ste 30, San Mateo, CA 94403-7106 | 2018-10-04 |
1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
1477094795 | Brian P Lee | Dentist | 1616 Range Ct, Diamond Bar, CA 91765-4318 | 2017-03-20 |
1174065429 | Brian Lee | Student in an Organized Health Care Education/Training Program | 6210 Woodside Ave Apt 211, Woodside, NY 11377-3681 | 2016-11-16 |
1366807992 | Brian Jin Han Lee | Pharmacist | 4745 Dunsmore Ave, La Crescenta, CA 91214-1814 | 2015-12-28 |
1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
1508267527 | Brian Lee | Dentist | Usa Dental Activity Mcds Na B, 2817 Reilly Rd, Fort Bragg, NC 28310-7302 | 2014-09-09 |
1891114377 | Brian Jinho Lee | Student in an Organized Health Care Education/Training Program | 256 S Durham St, Baltimore, MD 21231-2605 | 2014-04-10 |
1346583242 | Brian T Lee | Internal Medicine | 197 E Caroline St Ste 1400, San Bernardino, CA 92408-3731 | 2013-03-29 |
Street Address |
2200 E ELLENDALE AVE |
City | DALLAS |
State | OR |
Zip Code | 97338-9353 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649396797 | Kimberly Marie Anderson | Social Worker | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2007-03-21 |
1558663237 | Patrick F Hund | Counselor | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2010-12-01 |
1972716108 | Theresa Jean Valerio | Counselor | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2007-05-07 |
1316150220 | Llama Taylor | Social Worker | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2007-05-07 |
1104039346 | Richard Willis Brown | Counselor | 2200 E Ellendale Ave, Dallas, OR 97338-9353 | 2007-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
Find all providers in zip 97338 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
1497355754 | Charles Alexander Plafcan | Counselor | 5969 E Northwest Hwy Apt 1092, Dallas, TX 75231-7429 | 2020-10-27 |
1730788290 | Britton Michele Elliott | Counselor | 6318 Richmond Ave Unit 1203, Dallas, TX 75214-3686 | 2020-10-25 |
1619576634 | Kaitlin Short | Counselor | 2616 Colby St Apt 2105, Dallas, TX 75204-2664 | 2020-10-21 |
1356948061 | Mary Carlisle Reid-doulgas | Counselor | 7724 Dentcrest Dr, Dallas, TX 75254-8134 | 2020-10-06 |
1316550247 | Rodney Dean Beck | Counselor | 9814 Ridgehaven Dr, Dallas, TX 75238-2621 | 2020-08-29 |
1295348852 | Elizabeth Thompson | Counselor | 4100 Spring Valley Rd Ste 520, Dallas, TX 75244-3629 | 2020-08-24 |
1245840701 | Alaina Michelle Mount | Counselor | 9535 Forest Ln Ste 288, Dallas, TX 75243-5900 | 2020-08-08 |
1992314736 | Maritza Garcia | Counselor | 3850 W Nothwest Hwy, #3004, Dallas, TX 75220 | 2020-07-28 |
1316556582 | Zhen Barrientos | Counselor | 7141 Elliott Dr, Dallas, TX 75227-1806 | 2020-07-23 |
Find all providers in DALLAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.