Individual
MICHELE LYNN LEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
63360 NW BRITTA ST., STE. 1, BEND, OR 97701-9475
(541) 322-7639
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7638
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201042404
OR
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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