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LIVING WATERS FAMILY PRACTICE
NPI 1457644155
Nurse Practitioner - Family in Grants Pass, OR

Active since May 27, 2011
181 NW BUNNELL AVE, GRANTS PASS, OR 97526(541) 474-9400(541) 474-2232 Get Directions Write a Review

NPPES record last updated: May 27, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Living Waters Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVING WATERS FAMILY PRACTICE (NPI 1457644155) is a healthcare organization registered as a family in Grants Pass, Oregon and active in the NPI registry since May 2011. The organization lists Cynthia Mahoney, Owner, as its authorized official.

NPPES Registry Identity

NPI1457644155
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLIVING WATERS FAMILY PRACTICE
Location Address181 NW BUNNELL AVEGrants Pass, OR 97526-6012
Mailing Address181 Nw Bunnell AveGrants Pass, OR 97526-6012 · (541) 474-9400 · Fax (541) 474-2232
Phone(541) 474-9400
Fax(541) 474-2232
Organization SubpartNo
Authorized OfficialCynthia MahoneyOwner · (541) 474-9400
Enumeration DateMay 27, 2011
✔ NPI 1457644155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 200250078NP
181 NW BUNNELL AVE, Grants Pass, OR 97526
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES LEE CALVERT M.D.
Internal Medicine
181 NW BUNNELL AVE
GRANTS PASS, OR 97526
Josephine County (541) 479-4111
CYNTHIA MARIE MAHONEY FNP
Nurse Practitioner (Adult Health)
181 NW BUNNELL AVE
GRANTS PASS, OR 97526
Josephine County (541) 474-9400
LWAFP PC INC
Nurse Practitioner (Adult Health)
181 NW BUNNELL AVE
GRANTS PASS, OR 97526
Josephine County (541) 474-9400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Living Waters Family Practice's NPI number?

The NPI number for Living Waters Family Practice is 1457644155. It was assigned to this organization in the NPPES registry on May 27, 2011.

Where is Living Waters Family Practice located?

Living Waters Family Practice is located at 181 NW Bunnell Ave, Grants Pass, OR 97526. The listed phone number is (541) 474-9400.

What is Living Waters Family Practice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Living Waters Family Practice was last updated on May 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.