Individual
PETER MASON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
2640 NW ALEXANDRA AVE, PORTLAND, OR 97210-1289
(503) 239-1248
Mailing address
PO BOX 10027, PORTLAND, OR 97296-0027
(503) 239-1248
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9996922
OR
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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