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

Haki K Lee, FNP-C

Individual provider Internal Medicine Physician · NPI 1710442926

Haki K Lee, FNP-C is a Nurse Practitioner in Gresham, Oregon. Qualified in 2018, 8 years ago. Practices with Icco LLC, a 133-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2019
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Phone: (503) 666-5050
Fax: (503) 666-1162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14406 Ne 20th Ave, Vancouver, WA 98686-1448 — (800) 813-2000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201900881NP-PP (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 201900881NP-PP (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 201900881 (OR)

Record details

NPI number1710442926
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2019
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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