Organization Name: | ERIC S LEMAY RN DC PC |
NPI Number: | 1053586081 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC SCOTT LEMAY (PRESIDENT) |
Mailing Address: | 38916 Proctor Sandy |
State: | OR US |
Postal Code: | 970550097 |
Phone Number: | 5036683530 |
Fax Number: | 5036683541 |
NPI Enumeration Date: | 04/30/2008 |
NPI Last Update Date: | 04/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 2886 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |