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Individual

DEVITA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5211 NE GLISAN ST BLDG C, PORTLAND, OR 97213-3052
(971) 777-0325
Mailing address
7174 SW 204TH AVE APT 8, BEAVERTON, OR 97007-7923

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
01/17/2018
Last updated
01/17/2018
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