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Organization

JOHN S LEE MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GINA LUTES (PRACTICE MANAGER)
(503) 228-5432
Entity
Organization

Contact information

Practice address
2363 NW FLANDERS ST, PORTLAND, OR 97210-3409
(503) 228-5432
Mailing address
2363 NW FLANDERS ST, PORTLAND, OR 97210-3409
(503) 228-5432

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD21988
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134213
OR
Enumeration date
10/02/2007
Last updated
10/26/2010
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