Doctor Name: | WILLIAM LEE LE |
NPI Number: | 1326230079 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | MA00024420 |
Business Practice Address: | 6202 Ne Highway 99 Ste 8 Vancouver, WA - 986658747 |
Business Phone Number: | 3606956065 |
Business Fax Number: | |
Mailing Address: | 10010 Ne 75th St, VANCOUVER |
State: | WA |
Postal Code: | 986623808 |
Phone Number: | 3606246058 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2007 |
NPI Last Update Date: | 08/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA00024420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |