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Individual

DR. LEE E. DORFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO, MS

Contact information

Practice address
120 NW 14TH AVE, SUITE 300, PORTLAND, OR 97209-2601
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 2040, PORTLAND, OR 97208-2040
(503) 299-9906
(503) 225-9002

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO26017
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213500
OR
05
8432544
WA
01
P00240609
RR MEDICARE
OR
Enumeration date
02/21/2006
Last updated
10/15/2007
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