Healthcare Provider Details

I. General information

NPI: 1063859924
Provider Name (Legal Business Name): RB ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2013
Last Update Date: 11/27/2023
Certification Date: 08/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 CHAMBERS ST
EUGENE OR
97402-3706
US

IV. Provider business mailing address

1096 THRONE DR
EUGENE OR
97402-1474
US

V. Phone/Fax

Practice location:
  • Phone: 541-505-4185
  • Fax:
Mailing address:
  • Phone: 541-505-4185
  • Fax: 612-437-4489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ROSEMARY C. BRITT
Title or Position: OWNER
Credential:
Phone: 541-505-4185