Individual
DUSTIN JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA, CPT
Contact information
Practice address
4660 NE BELKNAP CT STE 101H, HILLSBORO, OR 97124-8403
(503) 729-2384
(855) 240-3947
Mailing address
2034 COLUMBIA BLVD # 507, SAINT HELENS, OR 97051-1737
(503) 729-2384
(855) 240-3947
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
146N00000X
Basic Emergency Medical Technician
—
—
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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