Individual
GRACE JEE-YEON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9000 N LOMBARD ST, PORTLAND, OR 97203-3006
(503) 988-5304
Mailing address
421 SW OAK ST., STE. 210, PORTLAND, OR 97204
(503) 988-3663
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A87977
CA
207Q00000X
Family Medicine Physician
Primary
MD154466
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022959
—
OR
Enumeration date
01/17/2007
Last updated
03/20/2012
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