Organization
SUNSET EYE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNY B LEE OD (PARTNER)
(503) 533-8441
Entity
Organization
Contact information
Practice address
1865 NW 169TH PL, SUITE 105, BEAVERTON, OR 97006-7327
(503) 533-8441
(503) 533-8403
Mailing address
1865 NW 169TH PL, SUITE 105, BEAVERTON, OR 97006-7327
(503) 533-8441
(503) 533-8403
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2877ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270841
—
OR
Enumeration date
07/14/2006
Last updated
04/28/2009
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