Individual
MR. PAUL PATRICK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12 SE 14TH AVE, PORTLAND, OR 97214-1404
(503) 235-3433
(503) 235-4762
Mailing address
12 SE 14TH AVE, PORTLAND, OR 97214-1404
(503) 235-3433
(503) 235-4762
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1065
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065
OREGON BOARD OF CLINICAL SOCIAL WORKERS
—
Enumeration date
10/15/2010
Last updated
10/15/2010
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