Individual
ROSALIE BROOMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
211 E 7TH AVE, EUGENE, OR 97401-2773
(541) 915-7181
Mailing address
1590 E 13TH AVE, EUGENE, OR 97403-1967
(541) 346-2154
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
L10298
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L10298
BLSW
OR
Enumeration date
09/25/2016
Last updated
09/21/2023
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