Lee, Johnathan Chungtae

Lee, Johnathan Chungtae is an individual health care provider with primary practice located at 13942 Ne Glisan St , Portland OR 97230-3350. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Lee, Johnathan Chungtae can be contacted via phone (971) 302-7990.

Contact Information

Primary practice address
13942 Ne Glisan St Portland OR 97230-3350
Phone: (971) 302-7990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1437595162
LBN Legal business name Lee, Johnathan Chungtae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2013
Last updated May 21st, 2013 - about 12 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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