Cordova, Lee

Cordova, Lee is an individual health care provider with primary practice located at 1001 Molalla Ave Ste 100, Oregon City OR 97045-3788. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cordova, Lee can be contacted via phone (503) 656-5273.

Contact Information

Primary practice address
1001 Molalla Ave Ste 100 Oregon City OR 97045-3788
Phone: (503) 656-5273
Fax: (503) 650-4828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD09119 Oregon

Profile Details

NPI number 1699727917
LBN Legal business name Cordova, Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 14th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699727917 NPPES
Oregon MEDICAID 238659
Oregon Other 110154334

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