| Haki K Lee, FNP-C | |
|
2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | |
| (503) 666-5050 | |
| (503) 666-1162 |
| Full Name | Haki K Lee |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 2850 Se Powell Valley Rd, Gresham, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710442926 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icco Llc | 1355406729 | 133 |
| Entity Name | Kaiser Foundation Health Plan of the Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Entity Name | Icco LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Haki K Lee, FNP-C Po Box 3777, Portland, OR 97208-3777 Ph: (503) 413-3900 | Haki K Lee, FNP-C 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 Ph: (503) 666-5050 |
Andrew E Vilius, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 955 Ne 3rd St, Gresham, OR 97030 Phone: 503-491-5896 |
Krista Fuqua, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2072 Ne Burnside Rd, Gresham, OR 97030 Phone: 971-436-2560 |
Vivian B Vargo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185 |
Sommer Verley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050 |
Elana Underwood Scharff, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 Fax: 503-674-1599 |
Renae Rykaczewski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St Ste 300, Gresham, OR 97030 Phone: 530-988-5155 |
Alma San Juan, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 |