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Living Waters Family Practice

Family Nurse Practitioner in Grants Pass, OR · enumerated 2011 · authorized official Cynthia Mahoney, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457644155

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Registry record

Entity type Organization (Type 2)
Legal business name Living Waters Family Practice
Practice address 181 Nw Bunnell Ave, Grants Pass, OR, 97526
Phone (541) 474-9400
Fax (541) 474-2232
Enumeration date May 27, 2011
Last updated in NPPES May 27, 2011

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 200250078NP (OR) Primary

Authorized official

Name Cynthia Mahoney
Title Owner
Phone (541) 474-9400

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-05-27. Verify at npiregistry.cms.hhs.gov.
Where is Living Waters Family Practice located?
The practice location on file with NPPES is in Grants Pass, OR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-27.