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General NPI Number Information
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NPI Number | 1790928489
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Entity Type | Individual
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Provider Name | LISA MICHELE ROSBOROUGH NP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2009
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 2650 SUZANNE WAY STE 200
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City | EUGENE
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State | OR
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Zip | 97408-7619
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Country | US
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Telephone | 541-228-3050
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Fax | 541-228-3050
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Provider Business Mailing Address
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Address Line | 78763 RAT CREEK RD
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City | COTTAGE GROVE
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State | OR
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Zip | 97424-9421
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Country | US
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Telephone | 541-942-6475
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN156565
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201350102NP
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License Number State | OR
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