Provider Demographics
NPI:1548133093
Name:RAINE, BRITTINY AMBER
Entity type:Individual
Prefix:
First Name:BRITTINY
Middle Name:AMBER
Last Name:RAINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 W 11TH AVE # 277
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-6643
Mailing Address - Country:US
Mailing Address - Phone:541-870-0036
Mailing Address - Fax:
Practice Address - Street 1:3003 W 11TH AVE # 277
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-6643
Practice Address - Country:US
Practice Address - Phone:541-870-0036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR113783172V00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No172V00000XOther Service ProvidersCommunity Health Worker