Individual
DR. LEE R WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DD.S.
Contact information
Practice address
5050 NE HOYT ST, SUITE 528, PORTLAND, OR 97213-2991
(503) 233-7176
(503) 235-5487
Mailing address
5050 NE HOYT ST, SUITE 528, PORTLAND, OR 97213-2991
(503) 233-7176
(503) 235-5487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4567
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
GENERAL PRACTICE
OR
Enumeration date
08/31/2006
Last updated
11/05/2021
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