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Individual

BRIDGETT M DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QTP, CECP, HMC

Contact information

Practice address
1760 SW 3RD ST, CORVALLIS, OR 97333-1725
(541) 207-3773
(800) 549-1017
Mailing address
1760 SW 3RD ST, CORVALLIS, OR 97333-1725
(541) 207-3773
(800) 549-1017

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/19/2018
Last updated
09/19/2018
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