MEDICARE: DEVIN L LEE MD

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
1	207Q00000X	Family Medicine Physician	MD188940	OR

General Provider Information

NPI Number	:	1790125649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVIN L LEE MD

Provider Business Mailing Address
First Line	:	PO BOX 2847
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97339-2847
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2846 WILLAMETTE ST
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-8200
Country	:	US
Telephone Number	:	541-222-8700
Fax Number	:	541-222-8701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2013
Last Update Date	:	09/24/2024

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Directions to “ DEVIN L LEE MD” Practice Location

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