Individual
DIANE PHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
9151 SE WOODSTOCK BLVD, PORTLAND, OR 97266-5369
(503) 433-2414
Mailing address
6004 NE 51ST AVE, VANCOUVER, WA 98661-1865
(503) 821-9030
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7100
OR
Other
Enumeration date
06/04/2019
Last updated
05/11/2023
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