Provider Demographics
NPI:1548555303
Name:LEMMON, DEBORAH (LMFT)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:LEMMON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 JOHN ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-1955
Mailing Address - Country:US
Mailing Address - Phone:503-839-4583
Mailing Address - Fax:
Practice Address - Street 1:702 JOHN ADAMS ST.
Practice Address - Street 2:SUITE #4
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2654
Practice Address - Country:US
Practice Address - Phone:503-839-4583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR1973106H00000X
ORT0895106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist