Individual
JEANNIE C LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 657-6723
Mailing address
21919 SW STAFFORD RD, TUALATIN, OR 97062-9729
(503) 502-4034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
000028918RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
000028918CRNA
OR
Other
Enumeration date
02/05/2007
Last updated
12/08/2010
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