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NPI Code Detail

MEDICARE: WON SOK LEE M.D.

MEDICARE: WON SOK LEE M.D.
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
12085R0001XRadiation Oncology PhysicianMD23372OR
22085R0001XRadiation Oncology PhysicianMD00036294WA
32085R0203XTherapeutic Radiology PhysicianMD23372OR
42085R0203XTherapeutic Radiology PhysicianMD00036294WA

General Provider Information

NPI Number : 1902894793
Entity Type Code : Individual
Provider Name (Legal Business Name) : WON SOK LEE M.D.
Provider Business Mailing Address
First Line : 1400 NW IRVING ST
Second Line :
City : PORTLAND
State : OR
Zip : 97209-2210
Country : US
Telephone Number : 503-222-1299
Fax Number :
Provider Business Practice Location Address
First Line : 2241 NE 139TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98686-2742
Country : US
Telephone Number : 360-487-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 12/01/2007

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