Most Relevant Information
Provider Data
| NPI Number: | 1003492299 |
| Provider Name: | ANGELA LEE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | L7479 |
Most Important Dates
| Enumeration Date: | 03/19/2021 |
| Last Updated: | 03/19/2021 |
Provider Practice Location
4400 NE HALSEY ST STE 200
PORTLAND
OR
972131545
Practice Location Phone/Fax
| Phone: | 5032156556 |
| Fax: |
Provider Mailing Location
4444 E BURNSIDE ST
PORTLAND
OR
972151035
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |