Individual
MICHAEL JS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4655 SW GRIFFITH DR STE 180, BEAVERTON, OR 97005-8732
(503) 746-5214
Mailing address
19116 NW NORTHSHORE CT, PORTLAND, OR 97229-2078
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6117
OR
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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