Individual
MICHELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5856
(503) 494-2370
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5856
(503) 494-2370
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2019022747
MO
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
MD225807
OR
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD225807
OR
Other
Enumeration date
07/11/2019
Last updated
09/09/2025
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