Individual
MRS. LISA MICHELE ROSBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2650 SUZANNE WAY STE 200, EUGENE, OR 97408-7619
(541) 228-3050
(541) 228-3050
Mailing address
78763 RAT CREEK RD, COTTAGE GROVE, OR 97424-9421
(541) 942-6475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201350102NP
OR
363LF0000X
Family Nurse Practitioner
RN156565
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I507764
MEDICARE
GA
05
—
754611424A
—
GA
Enumeration date
04/11/2009
Last updated
02/25/2026
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