Micah Lee, LMT

NPI #1003180928 in Beaverton, Oregon

Provider Information

NPI Number: 1003180928
Entity Type: Individual
Name: Micah Lee, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: LMT
Enumeration Date: Feb 24, 2012
Last Updated: Feb 24, 2012

Practice Location

Address: 1574 SW 175TH AVE
City: Beaverton
State: Oregon
ZIP Code: 97006-7635
Phone: (503) 888-3863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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