Individual
FARREN AVA MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62895 HAMBY RD, BEND, OR 97701-9575
(541) 389-1409
Mailing address
62895 HAMBY RD, BEND, OR 97701-9575
(547) 389-1409
(541) 389-9348
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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