Lee, Anna

Lee, Anna is an individual health care provider with primary practice located at 24076 Se Stark St Suite 230, Gresham OR 97030-3373. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Lee, Anna can be contacted via phone (503) 488-2600.

Contact Information

Primary practice address
24076 Se Stark St Suite 230 Gresham OR 97030-3373
Phone: (503) 488-2600
Fax: (503) 465-5468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA179891 Oregon

Profile Details

NPI number 1114479458
LBN Legal business name Lee, Anna
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2016
Last updated Nov 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114479458 NPPES
Oregon MEDICAID 500718081
Oregon MEDICAID 2069949

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