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Individual

BOB YUAN WEN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
827 SPRING ST, MEDFORD, OR 97504-6111
(541) 732-8360
(541) 732-8361
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7360
(541) 732-8361

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD157659
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500645855
OR
Enumeration date
08/05/2007
Last updated
02/24/2015
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