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1538800198
BRIAN E LEE
PORTLAND, OR
NPI
1538800198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR PI0013623)
Enumeration Date
2022-04-06
Last Update Date
2022-04-06
Business Address
BRIAN E LEE
2829 N LOMBARD ST
PORTLAND, OR 97217-6263
Phone number: 503-737-0317
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Mailing Address
BRIAN E LEE
2280 SE 104TH DR
PORTLAND, OR 97216-3061
Phone number: 503-473-9436
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