Individual
JANICE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-5140
(503) 988-5580
Mailing address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-5140
(503) 988-5580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD189457
OR
207Q00000X
Family Medicine Physician
ML60561772
WA
Other
Enumeration date
06/25/2015
Last updated
09/19/2023
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