Individual
MISS WYNONA ELVERA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15455 NW GREENBRIER PKWY STE 200, BEAVERTON, OR 97006-7359
(503) 258-4512
(503) 350-0415
Mailing address
15455 NW GREENBRIER PKWY STE 200, BEAVERTON, OR 97006-7359
(503) 258-4512
(503) 350-0415
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A12728
OR
Other
Enumeration date
03/12/2019
Last updated
09/18/2023
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