Individual
BRYN E DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1001 N PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-1555
Mailing address
5133 SW SHATTUCK RD, PORTLAND, OR 97221-1800
(541) 598-5492
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
201403609RN
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
10024047
OR
Other
Enumeration date
03/07/2024
Last updated
10/03/2024
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