Individual
DEANNA D. DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 3RD ST, SUITE 4, DAVENPORT, WA 99122-9730
(509) 725-6560
(509) 725-1509
Mailing address
100 3RD ST, SUITE 1, DAVENPORT, WA 99122-9730
(509) 725-7501
(509) 725-7504
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OP00001498
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020053407
MEDICARE RAILROAD
WA
01
—
163959
DEPT. OF L & I
WA
05
—
7101132
—
WA
05
—
8186389
—
WA
01
—
CJ6525
MEDICARE RAILROAD
WA
Enumeration date
06/02/2006
Last updated
03/07/2023
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