Provider Demographics
NPI:1396880647
Name:LEMESHOW, JENNIFER (BA, LMT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:LEMESHOW
Suffix:
Gender:F
Credentials:BA, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1673 WILSON ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3352
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1245 CHARNELTON ST
Practice Address - Street 2:SUITE 6
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6214
Practice Address - Country:US
Practice Address - Phone:541-684-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR8121225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist