Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD.MD.60932442 | WA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD192326 | OR |
NPI | 1477816049 |
---|---|
Provider Name | Dr. Daniel Do Hoon Lee |
First Address | Clackamas, OR 97015-8970 |
Second Address | Clackamas, OR 97015-8970 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 04/02/2022 |