Individual
MR. RYAN GABERIEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 E 1ST ST, NEWBERG, OR 97132-2909
(503) 538-4874
(503) 538-1271
Mailing address
PO BOX 636, NEWBERG, OR 97132-0636
(503) 538-4874
(503) 538-1271
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500625268
—
OR
Enumeration date
08/21/2012
Last updated
08/21/2012
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