Living Waters Family Practice

LBN: Living Waters Family Practice
Living Waters Family Practice is an health care organization with primary practice located at 181 Nw Bunnell Ave , Grants Pass OR 97526-6012. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Living Waters Family Practice can be contacted via phone (541) 474-9400, or through Mahoney, Cynthia via phone (541) 474-9400.

Contact Information

Primary practice address
181 Nw Bunnell Ave Grants Pass OR 97526-6012
Phone: (541) 474-9400
Fax: (541) 474-2232
Website:
Map and Directions
Authorized official contact:
Name: Mahoney, Cynthia Family Nurse Practitioner (FNP)
Phone: (541) 474-9400

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200250078NP Oregon

Profile Details

NPI number 1457644155
LBN Legal business name Living Waters Family Practice
DBA Doing business as
Authorized official Mahoney, Cynthia Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2011
Last updated May 27th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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