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General NPI Number Information
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NPI Number | 1588522262
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Entity Type | Individual
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Provider Name | NATHANIEL LEMKE LMT
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Gender | Male
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 3990 CHERRY AVE NE STE 103
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City | KEIZER
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State | OR
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Zip | 97303-4888
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Country | US
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Telephone | 971-332-5916
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Fax |
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Provider Business Mailing Address
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Address Line | 16850 SE WALNUT HILL RD
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City | AMITY
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State | OR
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Zip | 97101-2100
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Country | US
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Telephone | 503-341-2334
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 29134
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License Number State | OR
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