Individual
HAKI K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080-1494
(503) 666-5050
(503) 666-1162
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
201900881
OR
207R00000X
Internal Medicine Physician
201900881NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
201900881NP-PP
OR
Other
Enumeration date
02/01/2019
Last updated
05/21/2026
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