<Unavail>

LBN: Jiyoung E Lee Dmd Pc
<Unavail> is an health care organization with primary practice located at 831 Nw Council Dr Ste 210 , Gresham OR 97030-3724. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Jiyoung E Lee Dmd Pc can be contacted via phone (503) 666-9436, or through Lee, Jiyoung via phone (503) 666-9436.

Contact Information

Primary practice address
831 Nw Council Dr Ste 210 Gresham OR 97030-3724
Phone: (503) 666-9436
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Jiyoung Doctor of Dental Medicine (DMD)
Phone: (503) 666-9436

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D8776 Oregon

Profile Details

NPI number 1942573118
LBN Legal business name Jiyoung E Lee Dmd Pc
DBA Doing business as <Unavail>
Authorized official Lee, Jiyoung Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2012
Last updated Jun 23rd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942573118 NPPES
Oregon MEDICAID 028475

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