JOHNATHAN CHUNGTAE LEE

PORTLAND, OR
NPI1437595162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2013-05-21
Last Update Date2013-05-21
Business Address
-- JOHNATHAN CHUNGTAE LEE
13942 NE GLISAN ST
PORTLAND, OR 97230-3350
Phone number: 971-302-7990
Mailing Address
-- JOHNATHAN CHUNGTAE LEE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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