Individual
SHANNON HYUNJI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-2811
Mailing address
2026 SE 54TH AVE, PORTLAND, OR 97215-3338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016575
OR
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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