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General NPI Number Information
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NPI Number | 1912559238
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Entity Type | Individual
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Provider Name | GREGORY LEMAY OD
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Gender | Male
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 19801 SW 72ND AVE
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City | TUALATIN
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State | OR
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Zip | 97062-8351
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Country | US
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Telephone | 503-691-2283
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Fax |
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Provider Business Mailing Address
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Address Line | 1594 EDGEWATER ST NW STE 190
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City | SALEM
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State | OR
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Zip | 97304-4656
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Country | US
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Telephone | 541-342-2201
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4478AT
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License Number State | OR
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