Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WILSON D LEE, D.D.S.

Active Sole Proprietor

DR. WILSON D LEE, D.D.S. is a Periodontology healthcare provider located in PORTLAND, Oregon. NPI 1730472986 is currently active in the NPPES registry. Verify at CMS.

Periodontology · PORTLAND, OR

Registration Details

NPI Number: 1730472986
Provider Type: Individual
Gender: Male
NPI Issued: May 20, 2011 (15.256726284916 yrs)
Last Updated: Jul 12, 2015
Licenses: 60645 (CA)

D10180 (OR)

DE 60567389 (WA)
Sole Proprietor: Yes

Practice Information

Address: 315 NW LOST SPRINGS TER

#401

PORTLAND, OR, 972296444
Browse OR providers · Browse ZIP 97229
Phone: 3109556546
Primary Specialty: Periodontology
1223P0300X
Additional Specialty: Periodontology
Additional Specialty: Periodontology
Additional Specialty: Periodontology

Other Periodontology Providers in PORTLAND, OR

Name	Credential	NPI
DR. SCOTT L. STRONG	DMD	1104826817
DR. DAVID ADAM GOLDWYN	DDS	1962496315
DR. LAWRENCE ROBERT HOVEY	DMD, MS	1194789198
DR. SANDRA ANN MCCOY	DMD	1730108044
REBECCA ANN LENOX	DMD	1235157181
DR. THOMAS RICHARD MADISON	DDS	1932213949

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.