Individual
MATTHEW LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 205-4366
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 205-4366
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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