Provider Demographics
NPI:1487163358
Name:LEE, CAMERON ADAM (DC)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:ADAM
Last Name:LEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11212 NE 36TH PL APT E224
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-7997
Mailing Address - Country:US
Mailing Address - Phone:425-522-3081
Mailing Address - Fax:425-577-6545
Practice Address - Street 1:11212 NE 36TH PL APT E224
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-7997
Practice Address - Country:US
Practice Address - Phone:425-522-3081
Practice Address - Fax:425-577-6545
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-23
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60799899111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor