Individual
MRS. AMANDA KAY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
9205 SW BARNES RD, PROVIDENCE ST. VINCENT MEDICAL CENTER, PCDI, PORTLAND, OR 97225-6603
(503) 216-2339
Mailing address
10811 NW SUPREME CT, PORTLAND, OR 97229-8816
(503) 707-5013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12902
OR
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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