Individual
JUSTIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
971 SW WALNUT ST, HILLSBORO, OR 97123-5651
(503) 640-5297
(503) 640-5780
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 640-5297
(503) 640-5780
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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