Organization
JIYOUNG E LEE DMD PC
Active
Other names
Gresham Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JIYOUNG LEE DMD (OWNER)
(503) 666-9436
Entity
Organization
Contact information
Practice address
831 NW COUNCIL DR STE 210, GRESHAM, OR 97030-3724
(503) 666-9436
Mailing address
831 NW COUNCIL DR, STE 210, GRESHAM, OR 97030-3721
(503) 761-2243
(503) 761-1540
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D8776
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028475
—
OR
Enumeration date
02/17/2012
Last updated
06/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us