Provider Demographics
NPI:1023057635
Name:O'CONNOR, MAUREEN ELIZABETH (ND)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:ELIZABETH
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:MAUREEN
Other - Middle Name:O'CONNOR
Other - Last Name:BARNHART
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:201 NE PARK PLAZA DR STE 212
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-5871
Mailing Address - Country:US
Mailing Address - Phone:360-885-0989
Mailing Address - Fax:
Practice Address - Street 1:201 NE PARK PLAZA DR STE 212
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-5871
Practice Address - Country:US
Practice Address - Phone:360-885-0989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR873175F00000X
WANT00001106175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR112784OtherKAISER PERMANENTE PROV ID