Individual
JONATHAN H LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1170 ROYAL AVE, MEDFORD, OR 97504-6101
(541) 779-7331
Mailing address
1170 ROYAL AVE, MEDFORD, OR 97504-6101
(541) 779-7331
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD26131
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026815
—
OR
01
—
040017229
RAILROAD MEDICARE
OR
Enumeration date
01/09/2006
Last updated
03/16/2012
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