Provider Demographics
NPI:1730201666
Name:MAHONY, ORION ZEBEDIAN (DC)
Entity type:Individual
Prefix:DR
First Name:ORION
Middle Name:ZEBEDIAN
Last Name:MAHONY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:454 PINE ST
Mailing Address - Street 2:
Mailing Address - City:EASTSOUND
Mailing Address - State:WA
Mailing Address - Zip Code:98245
Mailing Address - Country:US
Mailing Address - Phone:360-376-5575
Mailing Address - Fax:360-376-5574
Practice Address - Street 1:454 PINE ST
Practice Address - Street 2:
Practice Address - City:EASTSOUND
Practice Address - State:WA
Practice Address - Zip Code:98245
Practice Address - Country:US
Practice Address - Phone:360-376-5575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034477111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8853566Medicare ID - Type UnspecifiedMEDICARE GROUP ID #
WA8853691Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID