Individual
LEE CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 MOLALLA AVE, STE 100, OREGON CITY, OR 97045-3788
(503) 656-5273
(503) 650-4828
Mailing address
6 CENTERPOINTE DR, STE 200, LAKE OSWEGO, OR 97035-8653
(503) 797-2268
(503) 234-8227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD09119
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110154334
RR PIN NUMBER
—
05
—
238659
—
OR
Enumeration date
05/16/2006
Last updated
02/14/2012
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