Individual
DAVID YIM LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 4TH ST, MYRTLE POINT, OR 97458-1066
(541) 572-2111
(541) 572-5743
Mailing address
324 4TH ST, MYRTLE POINT, OR 97458-1066
(541) 572-2111
(541) 572-5743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD157511
OR
207V00000X
Obstetrics & Gynecology Physician
MD157511
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
GROUP-NORTH BEND MEDICAL CENTER NPI
OR
01
—
161133
GROUP-NORTH BEND MEDICAL CENTER MEDICAID #
OR
05
—
500648523
—
OR
01
—
93-0635514
GROUP-NORTH BEND MEDICAL CENTER TAX ID FOR BILLING
OR
01
—
R0000WFBTV
GROUP-NORTH BEND MEDICAL CENTER MEDICARE #
OR
Enumeration date
07/01/2009
Last updated
02/10/2014
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