Individual
EARL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2020 CAPITOL ST NE, SALEM, OR 97301-0644
(503) 399-2470
(503) 375-7429
Mailing address
PO BOX 8100, SALEM, OR 97303-0900
(503) 399-2424
(503) 315-4608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO156914
OR
207Q00000X
Family Medicine Physician
OT013000
PA
Other
Enumeration date
07/10/2009
Last updated
12/07/2012
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