Fay H Lee, DMD Valid NPI
Individual provider · General Practice Dentistry · Portland, OR
- NPI
- 1104812320
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 4339 (OR)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-09-22
- Last updated
- 2007-07-08
Practice location
2505 Se Hawthorne Blvd
Portland, OR 97214-3970
(503) 232-3102