Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD28126 | OR |
N | 111NI0900X | Internist | MD28126 | OR |
Y | 207RG0100X | Gastroenterologist | MD60342787 | WA |
NPI | 1043483779 |
---|---|
Provider Name | Noel M Lee |
First Address | Vancouver, WA 98664-1913 |
Second Address | Vancouver, WA 98686-2719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2008 |
Last Update Date | 03/07/2013 |