Individual
DR. CAROL E LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6856 SW BANCROFT WAY, PORTLAND, OR 97225-1907
(503) 297-7672
Mailing address
6856 SW BANCROFT WAY, PORTLAND, OR 97225-1907
(503) 297-7672
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD13322
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050050025
RR MEDICARE
OR
05
—
1051903
—
WA
05
—
280818
—
OR
05
—
805245000
—
ID
05
—
MD6352R
—
AK
05
—
XPY149780
—
CA
Enumeration date
07/26/2006
Last updated
12/21/2016
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