| NPI | 1992951107 |
|---|---|
| Doing Business As | LIVING WATER ADULT FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MAHONEY President 541-474-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |