Healthcare Provider Details

I. General information

NPI: 1871231431
Provider Name (Legal Business Name): BRIDGET LEE FRANEK LEMAY LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2022
Last Update Date: 05/24/2022
Certification Date: 05/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1274 W 7TH AVE
EUGENE OR
97402-4523
US

IV. Provider business mailing address

2735 ALMADEN ST
EUGENE OR
97405-1876
US

V. Phone/Fax

Practice location:
  • Phone: 541-762-1755
  • Fax:
Mailing address:
  • Phone: 330-842-2546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number26197
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier26197
Identifier TypeOTHER
Identifier StateOR
Identifier IssuerSTATE OF OREGON BOARD OF MASSAGE THERAPISTS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: