IndividualActive
Ken Lee, MD
NPI 1407864937 · MOHS-Micrographic Surgery Physician · Portland, OR
Provider details
- NPI number
- 1407864937
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD19438 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1414 Nw Northrup St Ste 600
Portland, OR 97209
Phone: (503) 223-3104
Fax: (503) 223-4619
Approximate (ZIP-level) locationGet directions
Mailing address
847 Ne 19th Ave Ste 300
Portland, OR 97232-2686
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2023-06-06
- Certified
- 2023-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.