Provider Demographics
NPI:1184779720
Name:LEE, BARBARA SUNHUI (QMHA)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:SUNHUI
Last Name:LEE
Suffix:
Gender:F
Credentials:QMHA
Other - Prefix:
Other - First Name:SUNHUI
Other - Middle Name:
Other - Last Name:PARK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2855 NE LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-2802
Mailing Address - Country:US
Mailing Address - Phone:503-667-9557
Mailing Address - Fax:
Practice Address - Street 1:20025 MOSSY MEADOWS AVE
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-7136
Practice Address - Country:US
Practice Address - Phone:503-496-0207
Practice Address - Fax:503-496-0349
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
OR101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator