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Individual

STEVE J DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RYT, LMT, NCTMB

Contact information

Practice address
5 CENTERPOINTE DR, SUITE 400, LAKE OSWEGO, OR 97035-8651
(503) 724-2755
Mailing address
PO BOX 1221, LAKE OSWEGO, OR 97035-0518
(503) 724-2755

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13099
OR
174400000X
Specialist
512195-6
OR
174H00000X
Health Educator
YA#29243
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13099
OREGON BOARD OF MASSAGE THERAPISTS
OR
01
512195-6
NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK
OR
Enumeration date
01/15/2010
Last updated
04/23/2013
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