Individual
MR. GUDMUND N. LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7420 SW GARDEN HOME RD, PORTLAND, OR 97223-9599
(971) 337-3500
(971) 337-3636
Mailing address
7420 SW GARDEN HOME RD, PORTLAND, OR 97223-9599
(971) 337-3500
(971) 337-3636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6494
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500683699
—
OR
Enumeration date
05/18/2012
Last updated
11/27/2023
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