Organization
LEE GARDNER M D L L C
Active
Other names
M. Lee Gardner MD, LLC, Lee Gardner M D L L C
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARION LEE GARDNER JR. MD (OWNER)
(503) 647-9261
Entity
Organization
Contact information
Practice address
10245 NW GLENCOE RD, NORTH PLAINS, OR 97133-8233
(503) 647-9261
(503) 647-1230
Mailing address
10245 NW GLENCOE RD, NORTH PLAINS, OR 97133-8233
(503) 647-9261
(503) 647-1230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044292
—
OR
Enumeration date
01/11/2008
Last updated
04/01/2026
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