Provider Demographics
NPI:1447452206
Name:LEE, WING MUI EDITH (MA)
Entity type:Individual
Prefix:MS
First Name:WING MUI
Middle Name:EDITH
Last Name:LEE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3430 SE POWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-3372
Mailing Address - Country:US
Mailing Address - Phone:503-872-8822
Mailing Address - Fax:503-872-8825
Practice Address - Street 1:3430 SE POWELL BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-3372
Practice Address - Country:US
Practice Address - Phone:503-872-8822
Practice Address - Fax:503-872-8825
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health