Individual
FANG-YU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3101 SE 192ND AVE STE 106, VANCOUVER, WA 98683-1443
(360) 553-7400
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD209116
OR
207Q00000X
Family Medicine Physician
Primary
MD61037697
WA
207Q00000X
Family Medicine Physician
ML60973564
WA
Other
Enumeration date
05/23/2019
Last updated
09/28/2022
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