Mahoney, Audra Diana
Mahoney, Audra Diana is an sole proprietor health care provider with primary practice located at 19824 Sw 72Nd Ave Ste 102 , Tualatin OR 97062-8398. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mahoney, Audra Diana can be contacted via phone (503) 447-4323.Contact Information
Primary practice address
19824 Sw 72Nd Ave Ste 102
Tualatin OR 97062-8398
Phone: (503) 447-4323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1588204531 |
|---|---|
| LBN Legal business name | Mahoney, Audra Diana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2020 |
| Last updated | Jan 7th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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