Provider Demographics
NPI:1891036158
Name:BRITT, ROSEMARY C (LAC)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:C
Last Name:BRITT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1096 THRONE DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-1474
Mailing Address - Country:US
Mailing Address - Phone:612-759-2884
Mailing Address - Fax:
Practice Address - Street 1:1065 CHAMBERS ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-3706
Practice Address - Country:US
Practice Address - Phone:541-505-4185
Practice Address - Fax:612-437-4489
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1613171100000X
ORAC197773171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty