Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anna Lee, PAC

Individual provider Surgical Physician Assistant · NPI 1114479458

Anna Lee, PAC is a Physician Assistant in Gresham, Oregon. Qualified in 2016, 10 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

24076 SE Stark St Ste 230
Gresham, OR 97030-3373
Phone: (503) 488-2600
Fax: (503) 465-5468
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5050 Ne Hoyt St Ste 610, Portland, OR 97213-2985 — (503) 467-4761
  • 1111 Ne 99th Ave Ste 101, Portland, OR 97220-9442 — (503) 488-2626

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA179891 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA179891 (OR)

Record details

NPI number1114479458
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 3, 2016
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing address541 Ne 20th Ave Ste 225, Portland, OR 97232-2895

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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