Provider Demographics
NPI:1871925933
Name:MCCAFFREY, MAUREEN FRANZISKA (PA)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:FRANZISKA
Last Name:MCCAFFREY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:19717 MOUNT BACHELOR DR
Mailing Address - Street 2:UNIT 211
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1901
Mailing Address - Country:US
Mailing Address - Phone:206-818-4399
Mailing Address - Fax:
Practice Address - Street 1:61250 SE COOMBS PL
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3704
Practice Address - Country:US
Practice Address - Phone:541-706-5930
Practice Address - Fax:541-706-5931
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-31
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR153294363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant