IndividualActive
Kenneth Lie, MD
NPI 1538277595 · Anesthesiology Physician · Clackamas, OR
Provider details
- NPI number
- 1538277595
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD24371 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10180 Se Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 652-2880
Street-level locationGet directions
Mailing address
13845 Se Mountain Crest Dr
Portland, OR 97086-6751
Additional practice locations (1)
- 1615 Delaware StLongview, WA 98632Phone: (360) 636-4878Fax: (360) 414-7638
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2021-05-04
- Certified
- 2021-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.