Individual
JACKY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
OHSU HOSPITAL, 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
RPH-0018922
OR
Other
Enumeration date
05/27/2022
Last updated
12/15/2022
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