Individual
ALICIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
(503) 629-8517
Mailing address
14600 NW CORNELL ROAD, PORTLAND, OR 97229
(503) 645-3581
(503) 629-8517
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
09/29/2016
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