Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Living Waters Family Practice

Organization Family Nurse Practitioner · NPI 1457644155

Living Waters Family Practice is a Family Nurse Practitioner in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011

Practice location Address checks out

181 NW Bunnell Ave
Grants Pass, OR 97526-6012
Phone: (541) 474-9400
Fax: (541) 474-2232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 200250078NP (OR)

Record details

NPI number1457644155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Mahoney — Owner · (541) 474-9400
NPI enumeratedMay 27, 2011
Last updated in NPPESMay 27, 2011
Mailing address181 Nw Bunnell Ave, Grants Pass, OR 97526-6012

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