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MAUREEN MCMAHON PAULUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
920 COUNTRY CLUB RD, SUITE 200A, EUGENE, OR 97401-6024
(541) 342-2134
(541) 686-6021
Mailing address
PO BOX 742785, LOS ANGELES, CA 90074-2785
(541) 342-2134
(541) 684-3074

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA164242
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500664027
OR
01
PA164242
OREGON LICENSE
OR
Enumeration date
08/14/2013
Last updated
04/26/2017
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