NPI 1508474644

Peter Lee, EMT

Practitioner Basic Emergency Medical Technician Portland, OR

Practice location

Address: 021 SW Bancroft St, Portland, OR 97239-4064
Phone: (503) 975-8552
Mailing address: PO Box 3501, Portland, OR 97208-3501

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 122578 (OR)

Other Emergency Medical Technician, Basic providers in Oregon →

Registry record

NPI: 1508474644
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2020
Record last updated: 15 Jul 2020

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.