Individual
DAVONNA LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
522 SW 13TH, PORTLAND, OR 97205
(503) 290-4513
Mailing address
PO BOX 2071, PORTLAND, OR 97208
(503) 290-4513
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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