NPI 1003180928

Micah Lee, LMT

Practitioner Mechanotherapist Beaverton, OR

Practice location

Address: 1574 SW 175th Ave, Beaverton, OR 97006-7635
Phone: (503) 888-3863

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 17945 (OR)

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Registry record

NPI: 1003180928
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Feb 2012
Record last updated: 24 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.