1. Home
  2. Directory
  3. Oregon
  4. Gresham
  5. Physician Assistant
  6. NPI Profile

ANNA LEE PAC
NPI 1114479458
Physician Assistant in Gresham, OR

Active since November 03, 2016PECOS EnrolledAccepts Medicare Assignment
24076 SE STARK ST, SUITE 230, GRESHAM, OR 97030(503) 488-2600(503) 465-5468 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2025, Nov 11, 2024, Nov 22, 2021 and 3 more (6 updates tracked since 2016).

About Anna Lee Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNA LEE PAC (NPI 1114479458) is an individual physician assistant in Gresham, Oregon, licensed in Oregon (PA179891) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114479458
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNA LEECredential: PAC
Location Address24076 SE STARK ST, SUITE 230Gresham, OR 97030-3373
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 488-2600
Fax(503) 465-5468
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 3, 2016
Last NPPES UpdateJune 20, 20256 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1114479458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA179891
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA179891 (OR)
24076 SE STARK ST, Gresham, OR 97030
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11111 NE 99th Ave Ste 101Portland, OR 97220-9442 · Phone (503) 488-2626 · Fax (503) 488-2630
Location 25050 NE Hoyt St Ste 610Portland, OR 97213-2985 · Phone (503) 467-4761

Other Identifiers 2

Medicaid500718081OR
Medicaid2069949WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anna Lee Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931489432
PECOS Enrollment IDI20161129000617
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services94 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
86 services62 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
78 services78 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STARK STREET PLAZA, LLC
Clinic/Center (Ambulatory Surgical)
24076 SE STARK ST, SUITE 310
GRESHAM, OR 97030
Multnomah County (503) 492-6510
CENTER FOR MENS AND WOMENS UROLOGY LLC
Specialist
24076 SE STARK ST, SUITE 310
GRESHAM, OR 97030
Multnomah County (503) 492-6510
MR. CLEM GEORGE EISCHEN JR. PT
Physical Therapist
24076 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 491-1666
GRESHAM PROFESSIONAL PHARMACY
Pharmacy (Community/Retail Pharmacy)
24076 SE STARK ST, SUITE 100
GRESHAM, OR 97030
Multnomah County (503) 491-0117
MOUNTAINVIEW MRI LLC
Physiological Laboratory
24076 SE STARK ST, SUITE 180
GRESHAM, OR 97030
Multnomah County (503) 661-6500
DR. BOBAK AMIR GHAHERI M.D.
Otolaryngology
24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030
Multnomah County (503) 488-2600
GREGORY GULLO MD PC
Anesthesiology (Pain Medicine)
24076 SE STARK ST, SUITE 320
GRESHAM, OR 97030
Multnomah County (503) 512-1212
GLEN A MILLIGAN M.D.
Specialist
24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030
Multnomah County (503) 465-5461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anna Lee's NPI number?

The NPI number for Anna Lee is 1114479458. It was assigned to this individual provider in the NPPES registry on November 3, 2016.

Where is Anna Lee located?

Anna Lee practices at 24076 SE Stark St Suite 230, Gresham, OR 97030. The listed phone number is (503) 488-2600.

What is Anna Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Anna Lee enrolled in Medicare?

Yes. Anna Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anna Lee accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Anna Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anna Lee affiliated with any hospitals?

According to CMS data, Anna Lee is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Anna Lee was last updated on June 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.