Individual
REBECCA S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5330 NE GLISAN ST STE 100, PORTLAND, OR 97213-3069
(503) 215-9700
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10012127
OR
Other
Enumeration date
10/13/2022
Last updated
10/27/2023
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