Healthcare Provider Details

I. General information

NPI: 1891036158
Provider Name (Legal Business Name): ROSEMARY C. BRITT L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2013
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: 612-437-4489
Mailing address:
  • Phone: 612-759-2884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1613
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC197773
License Number StateOR

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: