Individual
BRYANT LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2021 NW 185TH AVE, HILLSBORO, OR 97124-7073
(503) 645-7704
Mailing address
16353 SW CORNELIAN WAY, BEAVERTON, OR 97007-8849
(503) 810-3887
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9577
OR
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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