Individual
HEIDI MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 3RD AVE SW UNIT 151, ALBANY, OR 97321-2625
(541) 829-3925
Mailing address
635 3RD AVE SW UNIT 151, ALBANY, OR 97321-2625
(541) 829-3925
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
11/27/2023
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