Brian Lee
Radiology (Radiation Oncology)

Address: 9205 Sw Barnes Rd, Portland, OR 97225
Phone: 5032162195

Brian Lee (NPI# 1750503132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1750503132
Entity Type Individual
Full Name Brian Lee
Credential M.D.
Gender Male
Practice Address 9205 Sw Barnes Rd
Portland
OR 97225
Practice Telephone 5032162195
Practice Fax Number 5032162196
Mailing Address 847 Ne 19th Ave Ste 300
Portland
OR 97232-2686
Mailing Telephone 5039632801
Mailing Fax Number 5039632825
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-05-03
Last Update Date 2018-06-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 2085R0001X Radiology · Radiation Oncology Allopathic & Osteopathic Physicians MD00047718 WA
No 2085R0001X Radiology · Radiation Oncology Allopathic & Osteopathic Physicians A86003 CA
Yes 2085R0001X Radiology · Radiation Oncology Allopathic & Osteopathic Physicians MD186371 OR

Other Provider Identifier

State Identifier Issuer Type Code
OR 500686689 MEDICAID
WA 8486532 MEDICAID

Secondary Practice Locations

Address Telephone Number Fax Number
4805 Ne Glisan, Garden Level, Portland, OR 97213 5032156029 5032156387

Other Providers BRIAN LEE

NPI Name Taxonomy Address Enumeration
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 Student in an Organized Health Care Education/Training Program 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
1114313145 Brian Lee Student in an Organized Health Care Education/Training Program 420 Delaware St Se Mmc 493, University of Minnesota Phys, Minneapolis, MN 55455 2015-04-07
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
1831533231 Brian Eugene Lee Student in an Organized Health Care Education/Training Program 10351 Johnson Ave, Cupertino, CA 95014-3870 2013-04-29
1225392178 Brian H Lee Radiology 79 Route 37 W Ste 103, Toms River, NJ 08755 2012-06-26

Physician Overview

NPI 1750503132
PAC ID by PECOS 7416058698
Professional Enrollment ID I20180125002900
Full Name Brian Nmi Lee
Organization Legal Name OREGON CLINIC PC
Phone Number 5032162195
Gender M
Medical School YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2002
Primary Specialty RADIATION ONCOLOGY
Group Practice PAC ID 2860390408
Number of Group Practice Members 289
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380004 PROVIDENCE ST VINCENT MEDICAL CENTER
380061 PROVIDENCE PORTLAND MEDICAL CENTER

Office Location

Street Address 9205 SW BARNES RD
City PORTLAND
State OR
Zip Code 97225

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326041526 Nate D Quilici Specialist 9205 Sw Barnes Rd, Portland, OR 97225-6603 2005-05-23
1235606351 Kristin Ruth Cumings Occupational Therapist 9205 Sw Barnes Rd, Portland, OR 97225-6603 2018-10-26
1871069955 Blake E Mccann Speech-Language Pathologist 9205 Sw Barnes Rd, Portland, OR 97225-6603 2018-10-16
1437624038 Patrick James Graham Nurse Practitioner 9205 Sw Barnes Rd, Portland, OR 97225-6603 2018-10-10
1306311428 Elisabeth Lindsay Mcclure Occupational Therapist 9205 Sw Barnes Rd, Portland, OR 97225-6603 2018-10-04
1285119412 Jill Van Occupational Therapist 9205 Sw Barnes Rd, Portland, OR 97225-6603 2018-10-03
1053896290 Lillian Tran Occupational Therapist 9205 Sw Barnes Rd, Portland, OR 97225-6603 2018-10-03
1194200311 Hailey C. Oliver Occupational Therapist 9205 Sw Barnes Rd, Portland, OR 97225-6603 2018-10-03
1225513526 Christiano Peter Scarcella Occupational Therapist 9205 Sw Barnes Rd, Portland, OR 97225-6603 2018-10-02
1881175768 Gerald Conedera Physical Therapist 9205 Sw Barnes Rd, Portland, OR 97225-6603 2018-08-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1841733433 Tia Pugh Occupational Therapist 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 2016-11-30
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1992162630 Robert Joseph Yoder Psychologist 9045 Barnes Rd, Portland, OR 97225 2016-01-26
1316303951 Katie Herold Chiropractor 9315 Sw Morrison St, Portland, OR 97225 2016-01-12
1184016099 Wendy W Yu Internal Medicine 9205 Sw Barnes Rd, Suite Mt2800, Portland, OR 97225 2015-03-02
1184021917 Justin Rooney Massage Therapist 4475 Sw Scholls Ferry Rd., West Hills Office Plaza, #210, Portland, OR 97225 2014-11-21
1730583352 Heather Pendell Naturopath 10397 Sw Eastridge St # 40, Portland, OR 97225 2014-10-09
Find all providers in zip 97225

Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487091260 Shushan R Rana Radiology 3181 Sw Sam Jackson Rd, Mail Code: Kpv4, Portland, OR 97239-3098 2013-06-03
1962848655 Joshua M Walker Radiology 3181 Sw Sam Jackson Park Rd # Kpv4, Portland, OR 97239 2013-05-21
1578610382 Jerry Jeff Jaboin Radiology 3181 Sw Sam Jackson Park Rd # L337, Department of Radiation Medicine, Portland, OR 97239-3011 2007-01-04
1770520892 Katie Anne Deming Radiology 1400 Nw Irving St, 527, Portland, OR 97209-2210 2006-05-31
1043299217 Andrew Yoo Jong Kee Radiology 450 N Graham St, Portland, OR 97227-1682 2006-01-16
1083601835 Thomas Harry Johnson Radiology 3620 N Interstate Ave, Portland, OR 97227-1106 2005-10-05
1356338149 Misa Melissa Lee Radiology 1130 Nw 22nd Avenue, Ll50, Portland, OR 97210-2900 2005-10-05
1689677692 Nicolaas Willem De Wette Radiology 265 N Broadway St, Portland, OR 97227-1800 2005-05-23
1538453741 Nima Nabavizadeh Radiology 3181 Sw Sam Jackson Park Rd, Kpv4, Portland, OR 97239-3011 2011-06-06
1033402995 Aaron Nathaniel Sabolch Radiology 3620 N Interstate Ave, Portland, OR 97227-1106 2011-05-25
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97225

Improve Information

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Dataset Information

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.

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