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Individual

THOMAS MULCAHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3099 NE DIAMOND LAKE BLVD, ROSEBURG, OR 97470-3655
(541) 673-5119
(541) 440-3554
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
(833) 299-8415

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201505672LP
OR

Other

Enumeration date
03/19/2026
Last updated
03/19/2026
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