IndividualActive
Michelle Lee
NPI 1124670989 · Pediatric Neurodevelopmental Disabilities Physician · Portland, OR
Provider details
- NPI number
- 1124670989
- Entity type
- Individual
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 2019022747 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-5856
Fax: (503) 494-2370
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Additional practice locations (1)
- 1 Childrens Pl # 3s34Saint Louis, MO 63110-1002Phone: (314) 454-6006Fax: (314) 454-4102
Registry dates
- Enumerated
- 2019-07-11
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.