Individual
SOPHIA IRENE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST STE BG12, PORTLAND, OR 97213-2933
(503) 215-2392
Mailing address
4805 NE GLISAN ST STE BG12, PORTLAND, OR 97213-2933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD224673
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
04/30/2026
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