Provider Demographics
NPI:1003687039
Name:LEHMAN, MEREDITH NICOLE CUPPLES (INTERN)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:NICOLE CUPPLES
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 NW CEDAR CT
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:OR
Mailing Address - Zip Code:97146-9642
Mailing Address - Country:US
Mailing Address - Phone:918-326-5329
Mailing Address - Fax:
Practice Address - Street 1:486 12TH ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-4122
Practice Address - Country:US
Practice Address - Phone:971-286-8159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker