Individual
ANDY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8955 SE 82ND AVE, HAPPY VALLEY, OR 97086-3765
(503) 788-2033
(503) 788-2027
Mailing address
8955 SE 82ND AVE, HAPPY VALLEY, OR 97086-3765
(503) 788-2033
(503) 788-2027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0010861
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0010861
OR
Other
Enumeration date
02/21/2012
Last updated
04/29/2017
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