Individual provider Active NPI

Lisa Michele Rosborough, NP

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1790928489
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201350102NP Issued in OR
Practice address
2650 Suzanne Way Ste 200
Eugene, OR 97408-7619
Phone
(541) 228-3050
Fax
(541) 228-3050
NPI assigned
Apr 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN156565 GA
Family Nurse Practitioner 363LF0000X 201350102NP OR Primary

Addresses

Primary practice location

2650 Suzanne Way Ste 200
Eugene, OR 97408-7619

Mailing address

78763 Rat Creek Rd
Cottage Grove, OR 97424-9421
Phone (541) 942-6475

Other identifiers 2

IdentifierTypeStateIssuer
202I507764OtherGAMEDICARE
754611424AMedicaidGA

Other names 1

  • Mrs. Lisa M Meritt-Iten Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220520002385 OR Practitioner - Nurse Practitioner 6305980640 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN156565GAMDFamily Nurse Practitioner
201350102NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Advanced Illness Management - Oregon, L.L.C. CurrentSince May 18, 2022 Accepting new patients
Willamette Community Health Solutions CurrentSince Feb 9, 2026 Accepting new patients
Willamette Community Health Solutions CurrentSince Feb 9, 2026 Accepting new patients

Locations

10365 SE Sunnyside Rd
Ste 340
Clackamas, OR 97015
Phone (503) 698-8911

89 Centennial Loop
Ste A
Eugene, OR 97401
Phone (541) 228-3000

2650 Suzanne Way
Ste 200
Eugene, OR 97408
Phone (541) 228-3000

1077 Gateway Loop
Ste B
Springfield, OR 97477
Phone (541) 844-0151

2002 Timberloch Pl
Ste 150A
The Woodlands, TX 77380
Phone (281) 419-4476

206 N 2100 W
Ste 202
Slc, UT 84116
Phone (801) 325-0175

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1790928489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78763 RAT CREEK RD",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974249421",
            "telephone_number": "541-942-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-228-3050",
            "fax_number": "541-228-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSBOROUGH",
        "first_name": "LISA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-11",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN156565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201350102NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202I507764",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "754611424A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MERITT-ITEN",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.