Healthcare Provider Details

I. General information

NPI: 1912817222
Provider Name (Legal Business Name): ABIGAIL ELIZABETH RASOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

260 OAKWAY CTR
EUGENE OR
97401-5663
US

IV. Provider business mailing address

29732 WILLOW CREEK RD APT 523
EUGENE OR
97402-9568
US

V. Phone/Fax

Practice location:
  • Phone: 541-632-3359
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number29904
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: