Individual
JIYOUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4400 NE HALSEY ST, PORTLAND, OR 97213-1545
(503) 893-7008
Mailing address
15192 SE HOLLAND LOOP, HAPPY VALLEY, OR 97086-2849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010862
OR
Other
Enumeration date
09/06/2009
Last updated
12/07/2018
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