Individual
MR. DARYL ALLEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
357 NE COURT ST, PRINEVILLE, OR 97754-1936
(541) 504-7535
(541) 504-7535
Mailing address
PO BOX 2298, PRINEVILLE, OR 97754-0470
(541) 504-7535
(541) 504-7535
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
20-CRM-073
OR
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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