Individual
GABRIELLE D MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
E.P.D.H.
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Mailing address
1112 NW CIRCLE BLVD, CORVALLIS, OR 97330-1462
(541) 257-2006
(541) 257-2007
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5806
OR
Other
Enumeration date
10/19/2012
Last updated
10/01/2014
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