DR. SUK KI KATHLEEN LEE (NPI# 1811017668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811017668 |
| Entity Type | Individual |
| Full Name | DR. SUK KI KATHLEEN LEE |
| Credential | D.D.S. |
| Practice Address |
1001 Sw 5th Ave Suite 222 Portland OR 97204-1147 |
| Mailing Address |
1101 Se Tech Center Dr Suite 195 Vancouver WA 98683-5504 |
| Practice Telephone | 5032225355 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D7421 | OR | Dental Providers |
| Street Address |
1001 SW 5TH AVE SUITE 222 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851466221 | Hana Safic Walkup | Dentist | 1001 Sw 5th Ave, Suite 222, Portland, OR 97204-1147 | 2006-11-21 |
| 1043626070 | Madeline Scheidt | Dentist | 1001 Sw 5th Ave, #222, Portland, OR 97204-1147 | 2014-07-10 |
| 1417249046 | Meghan Melissa Huffman | Counselor | 1001 Sw 5th Ave, Portland, OR 97204-1147 | 2011-05-16 |
| 1942423470 | Roland Adams | Dentist | 1001 Sw 5th Ave, Suite 222, Portland, OR 97204-1147 | 2007-04-11 |
| 1730208539 | Colin Glenn | Dentist | 1001 Sw 5th Ave, Suite 222, Portland, OR 97204-1147 | 2007-03-29 |
| 1205968526 | Dennis P. Swiercinsky | Clinical Neuropsychologist | 1001 Sw 5th Ave, Suite 1100, Portland, OR 97204-1147 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396259040 | Scott L. Barry, Dmd, PC | Dentist | 9020 Sw Washington Square Rd Ste 570, Portland, OR 97223-4477 | 2017-11-16 |
| 1386084564 | Sonja R Evans | Dentist | 82 Coyle St, Portland, ME 04101-1628 | 2013-07-02 |
| 1770849838 | West Coast Endodontics, PC | Dentist | 9907 Se Division Street, Ste A, Portland, OR 87266 | 2012-04-03 |
| 1780868687 | Dental Specialists of Portland | Dentist | 1355 Congress St, Suite A, Portland, ME 04102-2160 | 2007-12-27 |
| 1811197601 | Dental Specialists of Maine, LLC | Dentist | 1355 Congress St Ste A, Portland, ME 04102-2137 | 2007-07-20 |
| 1437365889 | Jason A Garlock | Dentist | 276 Canco Road, Granite Heights, Portland, ME 04103 | 2007-05-15 |
| 1346467404 | Tony Bassili | Dentist | 11982 Ne Glisan St, Portland, OR 97220-2143 | 2007-04-19 |
| 1427029503 | Brooks Bradley Horan | Dentist | 405 Se 133rd Ave, Portland, OR 97233-1809 | 2006-01-27 |
| 1497749881 | Scott W Edgar | Dentist | 1020 Ne 2nd Ave, #320, Portland, OR 97232-2064 | 2005-08-31 |
| 1053312595 | Danielle Paige Wingrove | Dentist | 2730 Sw Moody Ave # 5n032, Portland, OR 97201 | 2005-08-09 |
| Find all providers in PORTLAND | ||||
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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.