Individual
JESSICA R LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
505 NE 87TH AVE STE 210, VANCOUVER, WA 98664-1988
(360) 687-5221
Mailing address
PO BOX 5157, VANCOUVER, WA 98668-5157
(503) 687-5221
(360) 666-0466
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OP60574281
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500689602
—
OR
Enumeration date
05/05/2011
Last updated
01/11/2024
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