Healthcare Provider Details

I. General information

NPI: 1881407088
Provider Name (Legal Business Name): HALEIGH LOVETT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 COBURG RD
EUGENE OR
97401-4995
US

IV. Provider business mailing address

27753 GIBRALTER LOOP
EUGENE OR
97405-9737
US

V. Phone/Fax

Practice location:
  • Phone: 541-345-8760
  • Fax:
Mailing address:
  • Phone: 760-419-2180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA224221
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA61665132
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: