Individual
MARISSA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2875 NE STUCKI AVE, HILLSBORO, OR 97124-5806
(971) 302-1703
Mailing address
5432 SE 137TH AVE, PORTLAND, OR 97236-4352
(971) 302-1703
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A13388
OR
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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