Individual
DR. CHRISTINA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19250 SW 65TH AVE STE 260, TUALATIN, OR 97062-7747
(503) 413-5525
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
61927
WI
208600000X
Surgery Physician
Primary
MD214549
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669739306
—
WI
Enumeration date
04/19/2012
Last updated
12/12/2024
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