Individual
NATHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12340 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9320
(503) 698-5525
(503) 698-5524
Mailing address
12340 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9320
(503) 698-5525
(503) 698-5524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7261
OR
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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