Organization
YU JIN LEE, LAC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YU JIN LEE LAC. (OWNER)
(503) 961-4688
Entity
Organization
Contact information
Practice address
8283 SW BARBUR BLVD, PORTLAND, OR 97219-2871
(503) 244-1330
Mailing address
2525 SE 16TH AVE, UPPER, PORTLAND, OR 97202-1164
(503) 961-4688
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112693
NCCAOM
—
01
—
AC01282
OREGON MEDICAL BOARD
OR
Enumeration date
01/08/2016
Last updated
01/08/2016
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