Provider Demographics
NPI:1215708698
Name:MURPHY, MARIA E
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:E
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARJON
Other - Middle Name:E
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2445 NE DIVISION ST STE 200&204
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-3571
Mailing Address - Country:US
Mailing Address - Phone:541-229-2099
Mailing Address - Fax:
Practice Address - Street 1:2445 NE DIVISION ST STE 200&204
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-3571
Practice Address - Country:US
Practice Address - Phone:541-229-2099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program