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NPI Code Detail

MEDICARE: BARBARA SUNHUI LEE QMHA

MEDICARE: BARBARA SUNHUI LEE QMHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health CounselorOR

General Provider Information

NPI Number : 1184779720
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA SUNHUI LEE QMHA
Provider Business Mailing Address
First Line : 2855 NE LINDEN AVE
Second Line :
City : GRESHAM
State : OR
Zip : 97030-2802
Country : US
Telephone Number : 503-667-9557
Fax Number :
Provider Business Practice Location Address
First Line : 20025 MOSSY MEADOWS AVE
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-7136
Country : US
Telephone Number : 503-496-0207
Fax Number : 503-496-0349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 02/25/2016

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