Individual
LILY MAHALA CRANOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 VILLAGE DR STE 220, COTTAGE GROVE, OR 97424-9700
(541) 767-5200
(541) 767-5353
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD194941
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
04/09/2018
Last updated
10/18/2023
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