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Individual

MICHAEL JAMES LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9555 SW BARNES RD, SUITE 360, PORTLAND, OR 97225-6663
(971) 254-8626
(503) 445-0597
Mailing address
9555 SW BARNES RD, SUITE 360, PORTLAND, OR 97225-6663
(971) 254-8626
(503) 445-0597

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD15362
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
151910
OR
Enumeration date
09/28/2006
Last updated
01/14/2017
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