Individual
DR. FAY H LEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2505 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3970
(503) 232-3102
Mailing address
2505 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3970
(503) 232-3102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4339
OR
Other
Enumeration date
09/22/2005
Last updated
07/08/2007
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