Organization
MATTHEW S DAVIS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW S DAVIS MD (OWNER)
(626) 318-5854
Entity
Organization
Contact information
Practice address
2501 NE 134TH ST STE 203, VANCOUVER, WA 98686-3028
(971) 770-1449
Mailing address
944 NE HAZELFERN PL, PORTLAND, OR 97232-2628
(626) 318-5854
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60849018
WA
2084P0804X
Child & Adolescent Psychiatry Physician
MD60849018
WA
Other
Enumeration date
07/25/2018
Last updated
04/08/2020
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