Healthcare Provider Details

I. General information

NPI: 1851205629
Provider Name (Legal Business Name): ELEMENTS ACUPUNCTURE AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3575 DONALD ST STE 100
EUGENE OR
97405-4753
US

IV. Provider business mailing address

3575 DONALD ST STE 100
EUGENE OR
97405-4753
US

V. Phone/Fax

Practice location:
  • Phone: 541-683-6337
  • Fax:
Mailing address:
  • Phone: 541-683-6337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. MARY JENNIFER THIMMESCH
Title or Position: OWNER/ACUPUNCTURIST
Credential: MSOM, L.AC.
Phone: 541-683-6337