Individual
CECILIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1040 NW 22ND AVE STE 520, PORTLAND, OR 97210-3097
(503) 413-7557
Mailing address
PO BOX 3808, PORTLAND, OR 97208-3808
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5151015306
MI
208600000X
Surgery Physician
Primary
DO228986
OR
Other
Enumeration date
06/11/2021
Last updated
04/10/2026
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