Provider Demographics
NPI:1841621240
Name:LEMMON, BETH TEMPLETON (DPT)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:TEMPLETON
Last Name:LEMMON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:TEMPLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2285 SILHOUETTE ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-1196
Mailing Address - Country:US
Mailing Address - Phone:503-816-3886
Mailing Address - Fax:
Practice Address - Street 1:400 E 2ND AVE STE 103
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2452
Practice Address - Country:US
Practice Address - Phone:541-972-3284
Practice Address - Fax:541-223-9483
Is Sole Proprietor?:No
Enumeration Date:2013-12-10
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR05431225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist