Individual
MISA MELISSA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1130 NW 22ND AVENUE, LL50, PORTLAND, OR 97210-2900
(503) 413-7135
Mailing address
1400 NW IRVING ST, SUITE 527, PORTLAND, OR 97209-2210
(503) 222-1299
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD21673
OR
2085R0203X
Therapeutic Radiology Physician
MD21673
OR
Other
Enumeration date
10/05/2005
Last updated
11/11/2008
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