Individual
YU JIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2274 NW RALEIGH ST, PORTLAND, OR 97210-2766
(503) 323-0453
Mailing address
2525 SE 16TH AVE, PORTLAND, OR 97202-1164
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01282
OR
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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