Provider Demographics
NPI:1235376831
Name:SAMATOWIC, LEE (ND)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:
Last Name:SAMATOWIC
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 SW SALISH LN
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-9632
Mailing Address - Country:US
Mailing Address - Phone:503-804-6042
Mailing Address - Fax:503-682-0416
Practice Address - Street 1:8600 SW SALISH LN
Practice Address - Street 2:SUITE ONE
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-9632
Practice Address - Country:US
Practice Address - Phone:503-804-6042
Practice Address - Fax:503-682-0416
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-19
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR933175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath