Individual
JENNIFER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
25117 SW PARKWAY AVE STE B, WILSONVILLE, OR 97070-9697
(800) 568-1287
Mailing address
13589 NW STONEBRIDGE DR, PORTLAND, OR 97229-4496
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
268335
OR
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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