Individual
ROBERT B DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 NE 139TH ST, THE VANCOUVER CLINIC, VANCOUVER, WA 98686-2719
(360) 397-3810
Mailing address
1221 SW 10TH AVE, STE 1110, PORTLAND, OR 97205-2426
(503) 841-5642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00046696
WA
207R00000X
Internal Medicine Physician
MD021030E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006790590003
—
PA
05
—
8464380
—
WA
Enumeration date
03/09/2006
Last updated
02/29/2008
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