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Bu Sub Lee, DO
Student in an Organized Health Care Education/Training Program in Vancouver, Washington
NPI 1245090075

Bu Sub Lee is a Student in an Organized Health Care Education/Training Program based in Palisades Park, WA. Bu Sub Lee practices in Vancouver, WA and has the professional credentials of DO. The NPI Number for Bu Sub Lee is 1245090075 and holds a License No. (Washington).

The current practice location address for Bu Sub Lee is 2221 Ne 139Th Street, Vancouver, WA and can be reached out via phone at 360-397-1985 and via fax at 360-604-1604.

Location: 2221 Ne 139Th Street, Vancouver, WA, 07650-1755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245090075
Provider Name
Bu Sub Lee
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2221 Ne 139Th Street, Vancouver, WA, 07650-1755
Phone Number
360-397-1985
Fax Number
360-604-1604
Provider Enumeration Date
03/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2221 Ne 139Th Street
City
Vancouver
State
Washington
Zip
98686
Phone Number
360-397-1985
Fax Number
360-604-1604
person
Provider Business Mailing Address Details
Address
2221 Ne 139Th Street
City
Vancouver
State
Washington
Zip
98686
Phone Number
360-397-1985
Fax Number
360-604-1604
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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