Individual
THOMAS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9701 SW BARNES RD, SUITE 299, PORTLAND, OR 97225-6772
(503) 297-3660
(503) 297-7637
Mailing address
7650 SW BEVELAND RD, SUITE 200, PORTLAND, OR 97223-8692
(503) 297-3660
(503) 297-7637
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
M-17229
ID
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD 23594
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286895
—
OR
01
—
R158355
MEDICARE PTAN
OR
Enumeration date
11/22/2005
Last updated
06/08/2023
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