Individual
ANDREW JON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP,MSW, LCSW
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97007-1557
(503) 591-9280
(503) 848-2072
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97007-1557
(503) 591-9280
(503) 848-2072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
4907
OR
Other
Enumeration date
09/26/2006
Last updated
04/03/2013
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