Individual
BU SUB LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2221 NE 139TH STREET, VANCOUVER, WA 98686
(360) 397-1985
(360) 604-1604
Mailing address
2221 NE 135TH STREET, VANCOUVER, WA 98686
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
08/18/2025
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