Provider Demographics
NPI:1790987915
Name:MCARTHUR, LONI M
Entity Type:Individual
Prefix:MRS
First Name:LONI
Middle Name:M
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:964 N. MONMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:OR
Mailing Address - Zip Code:97361
Mailing Address - Country:US
Mailing Address - Phone:541-971-7380
Mailing Address - Fax:
Practice Address - Street 1:4455 HWY 20
Practice Address - Street 2:CHILDRENS FARM HOME
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330
Practice Address - Country:US
Practice Address - Phone:541-758-5944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker