Individual
NATHAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED MARRIAGE &
Contact information
Practice address
205 SE SPOKANE ST STE 300, PORTLAND, OR 97202-6487
(971) 777-8929
Mailing address
205 SE SPOKANE ST STE 300, PORTLAND, OR 97202-6487
(971) 777-8929
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
104774
CA
106H00000X
Marriage & Family Therapist
77588
CA
106H00000X
Marriage & Family Therapist
Primary
T2213
OR
Other
Enumeration date
09/15/2016
Last updated
01/01/2024
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