Healthcare Provider Details

I. General information

NPI: 1790245439
Provider Name (Legal Business Name): BRITTANY L SIKORSKY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY THOMAS

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 COUNTRY CLUB PKWY STE B
EUGENE OR
97401-6038
US

IV. Provider business mailing address

PO BOX 70368
SPRINGFIELD OR
97475-0120
US

V. Phone/Fax

Practice location:
  • Phone: 541-686-2922
  • Fax: 541-683-1709
Mailing address:
  • Phone: 541-485-2777
  • Fax: 541-246-2353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA181499
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD214756
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: