Provider Demographics
NPI:1013658509
Name:LEE, THAI-HIEN DO (RN, BSN)
Entity Type:Individual
Prefix:
First Name:THAI-HIEN
Middle Name:DO
Last Name:LEE
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:THAI-HIEN
Other - Middle Name:
Other - Last Name:DO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8087 SW OLDHAM DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-4057
Mailing Address - Country:US
Mailing Address - Phone:503-957-9519
Mailing Address - Fax:
Practice Address - Street 1:2311 NW NORTHRUP ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2994
Practice Address - Country:US
Practice Address - Phone:971-303-8060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201700543RN163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn