MEDICARE: MRS. DEBORAH LEMMON LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	R1973	OR
2	106H00000X	Marriage & Family Therapist	T0895	OR

General Provider Information

NPI Number	:	1548555303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH LEMMON LMFT

Provider Business Mailing Address
First Line	:	702 JOHN ADAMS ST
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-1955
Country	:	US
Telephone Number	:	503-839-4583
Fax Number	:

Provider Business Practice Location Address
First Line	:	702 JOHN ADAMS ST.
Second Line	:	SUITE #4
City	:	OREGON CITY
State	:	OR
Zip	:	97045-2654
Country	:	US
Telephone Number	:	503-839-4583
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2011
Last Update Date	:	09/26/2013

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