Individual
NATALIE JANE MAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
35 MULLINS DR STE 2, LEBANON, OR 97355-3985
(541) 451-7915
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA218205
OR
Other
Enumeration date
01/15/2024
Last updated
10/28/2024
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