Individual
INA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7145
Mailing address
1631 NW EVERETT ST APT 102, PORTLAND, OR 97209-2128
(509) 230-8020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011380
OR
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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