Provider Demographics
NPI:1053586081
Name:ERIC S LEMAY RN DC PC
Entity type:Organization
Organization Name:ERIC S LEMAY RN DC PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:LEMAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-668-3530
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:38916 PROCTOR
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-0097
Mailing Address - Country:US
Mailing Address - Phone:503-668-3530
Mailing Address - Fax:503-668-3541
Practice Address - Street 1:38916 PROCTOR
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-0097
Practice Address - Country:US
Practice Address - Phone:503-668-3530
Practice Address - Fax:503-668-3541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2886261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service