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Autumn Mulcahy

NPI Registration Record

Provider / OrganizationNPIDate Certified
AUTUMN MULCAHY14276885142020-07-24
Entity TypeIndividual
Provider Name Autumn Mulcahy
Practice Office Address200 BEATTY ST
MEDFORD, OR US
Practice Office Telephone5414762373
Mailing Address1215 SW G ST
GRANTS PASS, OR 975262544 US
Offices / Locations
AddressCity / StatePhone / Fax
2030 Taylor Rd Central Point, OR 975021762 5417271592
HPT Codes
CodeLicense NoState
101YM0800X PRIMARY OR
106S00000X OR
OPI Codes

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