Individual
CAROLINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1130 NW 22ND AVE STE 220, PORTLAND, OR 97210-2969
(503) 985-9743
Mailing address
1130 NW 22ND AVE STE 220, PORTLAND, OR 97210-2969
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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