CHANG MIN LEE (NPI# 1962066100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962066100 |
| Entity Type | Individual |
| Full Name | CHANG MIN LEE |
| Practice Address |
5050 Ne Hoyt St Ste 540 Portland OR 97213-2985 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032156600 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | PG193449 | OR | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280349 | Chang Yong Lee | Acupuncturist | 7700 Orangethorpe Ave Ste 5, Buena Park, CA 90621-1217 | 2017-08-13 |
| 1811186687 | Chang Yeol Lee | Chiropractor | 445 Walnut St Ste 139, Richardson, TX 75081-5584 | 2007-10-17 |
| 1629268446 | Chang Mi Lee | Acupuncturist | 729 Barranca Dr Ste 100, Castle Rock, CO 80104-7418 | 2007-07-27 |
| 1811197536 | Chang Li Lee | Obstetrics & Gynecology | 399 E Highland Ave Ste 223, San Bernardino, CA 92404-3864 | 2007-07-20 |
| 1801002662 | Chang Hyok Lee | Dentist | 18305 Nw West Union Rd, Suite A, Portland, OR 97229-2173 | 2007-05-15 |
| 1093891483 | Chang Joon Lee | Specialist | 4811 Florence Ave, Bell, CA 90201-4316 | 2006-10-27 |
| 1154417871 | Chang Suk Lee | Internal Medicine | 38-05 Bowne St., Flushing, NY 11354 | 2006-10-04 |
| 1720182132 | Chang Su Lee | Anesthesiology | 169 Martin Avenue, Ephrata, PA 17522 | 2006-09-08 |
| 1417494162 | Chang Lee | Pharmacist | 303 Peachtree Center Ave Ne Ste 600, Atlanta, GA 30303-1277 | 2017-01-19 |
| 1528450897 | Chang Min Lee | Physical Therapist | 219 S Washington St, Easton, MD 21601-2913 | 2015-02-24 |
| Street Address |
5050 NE HOYT ST STE 540 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518041045 | Mary Anne Joseph Nidiry | Internal Medicine | 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 | 2006-10-24 |
| 1821613837 | Cody John Paiva | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 | 2020-06-15 |
| 1669097671 | Anthony M Paluso | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 | 2020-06-15 |
| 1265056618 | Megan Elizabeth Block | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 | 2020-06-02 |
| 1437773892 | Dylan Robert Haynes | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 | 2020-06-02 |
| 1346864709 | Song Chi Lu | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 | 2020-06-02 |
| 1760006118 | Laura Elizabeth Bennetts | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 | 2020-06-02 |
| 1447874805 | Amanda Faye Farris | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 | 2020-06-02 |
| 1265056626 | James Lee Gendreau | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 | 2020-06-02 |
| 1043834401 | Reid Laurence Wilson | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
| 1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
| 1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
| 1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
| 1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
| 1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
| 1669081659 | Amy Hill | Student in an Organized Health Care Education/Training Program | 3931 N Juneau St Apt 7, Portland, OR 97217-7419 | 2020-07-27 |
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1558986364 | Haley Bosco Doyle | Student in an Organized Health Care Education/Training Program | 3587 Se Grant St, Portland, OR 97214-5829 | 2020-06-08 |
| 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.