Individual
SANG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1635 SW BAKER ST, MCMINNVILLE, OR 97128-6646
(503) 472-8466
Mailing address
4342 BARLEY CT NE, SALEM, OR 97305-3875
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0013009
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0013009
OR
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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