Individual
ETHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12330 NE 8TH ST STE 202, BELLEVUE, WA 98005-3187
(425) 278-5678
Mailing address
644 FREMONT AVE, LOS ALTOS, CA 94024-4812
(650) 948-8900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
61029054
WA
Other
Enumeration date
02/18/2019
Last updated
06/19/2023
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