Individual
TIMOTHY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1797
(503) 352-2020
Mailing address
10908 SE KNAPP ST, PORTLAND, OR 97266-5035
(503) 473-4239
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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