Living Waters Family Practice
NPI #1457644155 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1457644155
- Entity Type
- Organization
- Organization Name
- Living Waters Family Practice
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- May 27, 2011
- Last Updated
- May 27, 2011
Practice Location
- Address
- 181 NW BUNNELL AVE
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-6012
- Phone
- (541) 474-9400
Authorized Official
- Name
- MRS. CYNTHIA MAHONEY, FNP
- Title
- OWNER
- Phone
- (541) 474-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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