Individual
SHELLY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10000 SE MAIN ST, PORTLAND, OR 97216-2448
(503) 251-6393
Mailing address
10000 SE MAIN ST, PORTLAND, OR 97216-2448
(503) 251-6393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012799
OR
Other
Enumeration date
10/12/2011
Last updated
01/26/2026
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