Individual
BRIAN E LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2829 N LOMBARD ST, PORTLAND, OR 97217-6263
(503) 737-0317
Mailing address
2280 SE 104TH DR, PORTLAND, OR 97216-3061
(503) 473-9436
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PI0013623
OR
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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