Provider Demographics
NPI:1053612499
Name:LEE, YUN KRISTEN (RPH)
Entity type:Individual
Prefix:
First Name:YUN
Middle Name:KRISTEN
Last Name:LEE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11696 NE 76TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-3941
Mailing Address - Country:US
Mailing Address - Phone:360-944-2665
Mailing Address - Fax:360-944-2669
Practice Address - Street 1:11696 NE 76TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-3941
Practice Address - Country:US
Practice Address - Phone:360-944-2665
Practice Address - Fax:360-944-2669
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA48690183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist