Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679935530 Individual Practitioner Male Practitioner

Dr. Jonathan Lee , MD

Pediatrics • Pullman, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Lee, MD is a registered healthcare professional specializing in Pediatrics in Pullman, WA. Practice services are available at 1205 SE PROFESSIONAL MALL BLVD STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1205 Se Professional Mall Blvd Ste 104

Pullman, WA 991635423

Telephone 5093322605
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Pullman, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Pullman, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD60947065

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WA ML60657369

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

1420 S Blaine St Ste 5

Moscow, ID 838433973

Phone: 2088822247

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1649253840

Doctor of Medicine (M.D.)

NPI 1659354835

Doctor of Medicine (M.D.)

NPI 1669748604
NPI 1689657488

Doctor of Medicine (M.D.)

NPI 1770110645

Doctor of Medicine (M.D.)

NPI 1821261728

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location December 26, 2023

Registered at 1205 SE PROFESSIONAL MALL BLVD STE 104, PULLMAN, WA 991635423 (Tel: 5093322605)

📍
Updated Business Mailing Address December 26, 2023

Registered at 1205 SE PROFESSIONAL MALL BLVD STE 104, PULLMAN, WA 991635423 (Tel: 5093322605)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2023

Pediatrics (License #ML60657369 in WA)

📍
Updated Practice Location July 24, 2019

Registered at 16233 SYLVESTER RD SW STE 230, BURIEN, WA 981663044 (Tel: 2062427822)

📍
Updated Business Mailing Address July 24, 2019

Registered at 123 N 55TH ST, SEATTLE, WA 981035801

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2019

Pediatrics (License #MD60947065 in WA)

NPI Profile Active June 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2016

Registered at 4800 SAND POINT WAY NE, OC.7.830, SEATTLE, WA 981053901 (Tel: 2069872525)

📍
Updated Business Mailing Address June 14, 2016

Registered at 4800 SAND POINT WAY NE, OC.7.830, SEATTLE, WA 981053901 (Tel: 2069872525)

👤
Provider Name / Credentials Updated June 14, 2016

Recorded as JONATHAN LEE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2016

Pediatrics (License #ML60657369 in WA)

🟢
Initial NPI Registration & Enumeration March 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679935530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2016
Last Update: July 14, 2025
Sole Proprietor: No

Mailing Address

1205 Se Professional Mall Blvd Ste 104

Pullman, WA 991635423

Phone: 5093322605

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.