Healthcare Provider Details

I. General information

NPI: 1467341990
Provider Name (Legal Business Name): EMILY ROSE FRANCHOCK LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1332 MAIN ST
PHILOMATH OR
97370-2015
US

IV. Provider business mailing address

1430 NW WAPATO PL
CORVALLIS OR
97330-2886
US

V. Phone/Fax

Practice location:
  • Phone: 503-314-9362
  • Fax:
Mailing address:
  • Phone: 503-314-9362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number27381
License Number StateOR

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: