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Individual

DR. RANDALL G. LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7494
(503) 413-6267
Mailing address
PO BOX 4207, PORTLAND, OR 97208-4207
(503) 268-4802
(503) 268-4801

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD15204
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1032531
WA
05
149690
OR
Enumeration date
01/31/2007
Last updated
05/13/2009
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