institution
Living Waters Family Practice
Family Nurse Practitioner in Grants Pass, Oregon
NPI 1457644155

Living Waters Family Practice is a Family Nurse Practitioner based in Grants Pass, OR and is specialized in Family. Living Waters Family Practice practices in Grants Pass, OR. The NPI Number for Living Waters Family Practice is 1457644155 and holds a License No. 200250078NP (Oregon).

The current practice location address for Living Waters Family Practice is 181 Nw Bunnell Ave, Grants Pass, OR and can be reached out via phone at 541-474-9400 and via fax at 541-474-2232.

Location: 181 Nw Bunnell Ave, Grants Pass, OR, 97526-6012
institution
Provider Profile Details
NPI Number
1457644155
Provider Name
Living Waters Family Practice
Credential
Provider Entity Type
Organization
Address
181 Nw Bunnell Ave, Grants Pass, OR, 97526-6012
Phone Number
541-474-9400
Fax Number
541-474-2232
Provider Enumeration Date
05/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
181 Nw Bunnell Ave
City
State
Zip
97526-6012
Phone Number
541-474-9400
Fax Number
541-474-2232
person
Provider Business Mailing Address Details
Address
181 Nw Bunnell Ave
City
State
Zip
97526-6012
Phone Number
541-474-9400
Fax Number
541-474-2232
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
200250078NP (Oregon)
Definition
Definition to come...
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