MICAH LEE

BEAVERTON, OR
NPI1003180928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  17945)
Enumeration Date2012-02-24
Last Update Date2012-02-24
Business Address
MICAH LEE LMT
1574 SW 175TH AVE
BEAVERTON, OR 97006-7635
Phone number: 503-888-3863
Mailing Address
MICAH LEE LMT
1574 SW 175TH AVE
BEAVERTON, OR 97006-7635
Phone number:
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