| Misa Melissa Lee, MD | |
|
1130 Nw 22nd Avenue, Ll50, Portland, OR 97210-2900 | |
| (503) 413-7135 | |
| Not Available |
| Full Name | Misa Melissa Lee |
|---|---|
| Gender | Female |
| Speciality | Radiation Oncology |
| Experience | 32 Years |
| Location | 1130 Nw 22nd Avenue, Ll50, Portland, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356338149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD21673 (Oregon) | Primary |
| 2085R0203X | Radiology - Therapeutic Radiology | MD21673 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Salmon Creek Hospital | 0446295711 | 253 |
| Legacy Clinics Llc | 0244144004 | 635 |
| Entity Name | Legacy Salmon Creek Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356357784 PECOS PAC ID: 0446295711 Enrollment ID: O20051223000194 |
| Entity Name | Legacy Salmon Creek Hospital |
|---|---|
| Entity Type | Part B Supplier - Radiation Therapy Center |
| Entity Identifiers | NPI Number: 1609175660 PECOS PAC ID: 0446295711 Enrollment ID: O20090701000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Misa Melissa Lee, MD 1400 Nw Irving St, Suite 527, Portland, OR 97209-2210 Ph: (503) 222-1299 | Misa Melissa Lee, MD 1130 Nw 22nd Avenue, Ll50, Portland, OR 97210-2900 Ph: (503) 413-7135 |
Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982 | |
Kiri Ann Cook, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 N Broadway, Portland, OR 97227 Phone: 503-280-1223 | |
Deborah Janet Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903 | |
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Steven Lloyd Primack, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Dr. James S Putnam, MD Radiology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850 | |
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 |