Healthcare Provider Details
I. General information
NPI: 1770083040
Provider Name (Legal Business Name): BRITTNEY BROWN LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/13/2018
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2381 EMERALD ST
EUGENE OR
97403-1531
US
IV. Provider business mailing address
2381 EMERALD ST
EUGENE OR
97403-1531
US
V. Phone/Fax
- Phone: 971-720-2584
- Fax:
- Phone: 971-720-2584
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| 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:
Title or Position:
Credential:
Phone: