Organization
LEE GHORBANIAN I LTD
Active
Other names
Sunrise Dental of Gresham
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J LEE DDS (OWNER)
(503) 644-1126
Entity
Organization
Contact information
Practice address
13908 SE STARK ST, SPACE B, PORTLAND, OR 97233-2161
(503) 644-1126
(503) 644-1126
Mailing address
13908 SE STARK ST, SPACE B, PORTLAND, OR 97233-2161
(503) 644-1126
(503) 644-1126
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
D7463
OR
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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