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LIVING WATER ADULT FAMILY PRACTICE
NPI 1992951107
Nurse Practitioner - Adult Health in Grants Pass, OR

Active since August 07, 2008
181 NW BUNNELL AVE, GRANTS PASS, OR 97526(541) 474-9400 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Living Water Adult Family Practice NPPES

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

LIVING WATER ADULT FAMILY PRACTICE (NPI 1992951107) is a healthcare organization registered as an adult health in Grants Pass, Oregon and active in the NPI registry since August 2008. The organization lists Cynthia Mahoney, President, as its authorized official.

NPPES Registry Identity

NPI1992951107
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameLWAFP PC INC
Location Address181 NW BUNNELL AVEGrants Pass, OR 97526-6012
Mailing AddressPo Box 1925Grants Pass, OR 97528-0163
Phone(541) 474-9400
Organization SubpartNo
Authorized OfficialCynthia MahoneyPresident · (541) 474-9400
Enumeration DateAugust 7, 2008
✔ NPI 1992951107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
181 NW BUNNELL AVE, Grants Pass, OR 97526
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Other Names 1

Doing Business AsLiving Water Adult Family Practice

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
LIVING WATERS FAMILY PRACTICE
Nurse Practitioner (Family)
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 Lwafp PC Inc's NPI number?

The NPI number for Lwafp PC Inc is 1992951107. It was assigned to this organization in the NPPES registry on August 7, 2008. The provider is doing business as Living Water Adult Family Practice.

Where is Lwafp PC Inc located?

Lwafp PC Inc is located at 181 NW Bunnell Ave, Grants Pass, OR 97526. The listed phone number is (541) 474-9400.

What is Lwafp PC Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Lwafp PC Inc was last updated on August 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.