Individual provider · Type 1 NPI

Michelle Lee

Pediatric Neurodevelopmental Disabilities Physician · Portland, OR

NPI number 1124670989 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Fax (503) 494-2370

Other practice locations

  • 1 Childrens Pl # 3S34, St. Louis, MO 63110-1002 · (314) 454-6006

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X2019022747 (MO)
Neurology with Special Qualifications in Child Neurology Physician 2084N0402XMD225807 (OR)
Pediatric Neurodevelopmental Disabilities Physician Primary 2080P0008XMD225807 (OR)

Pediatric Neurodevelopmental Disabilities Physician: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

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About NPI 1124670989

Michelle Lee's National Provider Identifier is 1124670989, issued on Jul 11, 2019. The primary taxonomy on file is Pediatric Neurodevelopmental Disabilities Physician (2080P0008X), and the practice location is in Portland, OR. The record was last updated on Sep 9, 2025.