Individual
ANNA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
24076 SE STARK ST, SUITE 230, GRESHAM, OR 97030-3373
(503) 488-2600
(503) 465-5468
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA179891
OR
363AS0400X
Surgical Physician Assistant
PA179891
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069949
—
WA
05
—
500718081
—
OR
Enumeration date
11/03/2016
Last updated
06/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us