Individual
YASMINE SONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ANP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(360) 413-8525
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60616108
WA
363LA2200X
Adult Health Nurse Practitioner
201508399NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
304673
NY
363LA2200X
Adult Health Nurse Practitioner
AP60616108
WA
Other
Enumeration date
07/27/2012
Last updated
03/28/2025
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