Individual
JENNIFER LOUISE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5100 RIVER RD N, KEIZER, OR 97303-5371
(503) 933-2533
Mailing address
2020 CAPITOL ST NE, SALEM, OR 97301-0644
(503) 339-2424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201250175NP
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
201250175NP
OR
Other
Enumeration date
10/17/2012
Last updated
08/15/2025
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