Individual
MR. JONATHAN CHUNHAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12450 SW PIONEER LN, STE B, BEAVERTON, OR 97008
(503) 590-8883
(503) 590-0955
Mailing address
12450 SW PIONEER LN, STE B, BEAVERTON, OR 97008
(503) 590-8883
(503) 590-0955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11239
OR
122300000X
Dentist
DE60969366
WA
Other
Enumeration date
08/13/2019
Last updated
06/16/2020
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