Individual
ELLEN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3710 SW VETERANS HOSPITAL RD, R&D 14, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW VETERANS HOSPITAL RD, R&D 14, PORTLAND, OR 97239-2964
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10621
CA
Other
Enumeration date
06/19/2012
Last updated
04/22/2013
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