Individual
DR. MICHELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MS
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
16752 SE MARKET ST # B, PORTLAND, OR 97233-4426
(925) 695-5980
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4568
OR
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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