Individual
LOREN MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
61277 SPLENDOR LN, BEND, OR 97702-2974
(340) 998-1961
Mailing address
PO BOX 6507, BEND, OR 97708-6507
(340) 998-1961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19743
OR
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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