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Organization

NEWSTART PMR CLINIC, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HAROLD G LEE MD (PRESIDENT)
(503) 253-3882
Entity
Organization

Contact information

Practice address
10101 SE MAIN ST STE 2016, PORTLAND, OR 97216-2457
(503) 253-3882
(503) 253-2848
Mailing address
10101 SE MAIN ST STE 2016, PORTLAND, OR 97216-2457
(503) 253-3882
(503) 253-2848

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD14393
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135657
OR
01
R134350
MEDICARE
OR
Enumeration date
08/04/2005
Last updated
12/19/2017
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