Individual
JESSICA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9000 N LOMBARD ST, PORTLAND, OR 97203-3006
(503) 988-5558
Mailing address
9000 N LOMBARD ST, PORTLAND, OR 97203-3006
(503) 988-5558
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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