Individual
PENNY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3633 SE 35TH PL, PORTLAND, OR 97202-3370
(503) 494-4222
(503) 494-6143
Mailing address
3633 SE 35TH PL, PORTLAND, OR 97202-3370
(503) 494-4222
(503) 494-6143
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2014
Last updated
10/23/2014
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