Most Relevant Information
Provider Data
| NPI Number: | 1003564576 |
| Provider Name: | TORIANA MAHAFFIE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/14/2022 |
| Last Updated: | 03/14/2022 |
Provider Practice Location
37875 JASPER LOWELL RD
JASPER
OR
974389751
Practice Location Phone/Fax
| Phone: | 5417471235 |
| Fax: |
Provider Mailing Location
37875 JASPER LOWELL RD
JASPER
OR
974389751
Provider Mailing Phone/Fax
| Phone: | 5417471235 |
| Fax: |