NPI 1114479458

Anna Lee, PAC

Practitioner Physician Assistant Gresham, OR

Practice location

Address: 24076 SE Stark St Suite 230, Gresham, OR 97030-3373
Phone: (503) 488-2600
Fax: (503) 465-5468
Mailing address: 541 NE 20th Ave STE 225, Portland, OR 97232-2895

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA179891 (OR)

Other Physician Assistant providers in Oregon →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA179891 (OR)

Registry record

NPI: 1114479458
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Nov 2016
Record last updated: 20 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.