Individual
CHAN H LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
914 S SCHEUBER RD, PMG SW WA CENTRALIA ANESTHESIOLOGY, CENTRALIA, WA 98531-9027
(360) 736-2803
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60001650
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0 625 453 6
ECFMG
—
Enumeration date
06/09/2008
Last updated
06/16/2021
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