Individual
DR. MICHAEL SUKMIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5440 SW WESTGATE DR STE 217, PORTLAND, OR 97221-2421
(503) 274-2121
(866) 843-7990
Mailing address
4225 NE ST JAMES RD, VANCOUVER, WA 98663-2148
(503) 274-2121
(866) 843-7990
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD00044319
WA
207W00000X
Ophthalmology Physician
MD25478
OR
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD00044319
WA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD25478
OR
Other
Enumeration date
06/17/2005
Last updated
10/01/2024
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