Individual
DEANNA L LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3580 SE 82ND AVE, PORTLAND, OR 97266-2902
(503) 777-0761
(503) 777-0393
Mailing address
3580 SE 82ND AVE, PORTLAND, OR 97266-2902
(503) 777-0761
(503) 777-0393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8988
OR
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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