Individual
MRS. SAMANTHA JAE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
1355 GOLDFISH FARM RD SE, ALBANY, OR 97322-5154
(541) 967-6580
Mailing address
3660 DIAN AVE NE, ALBANY, OR 97322-4324
(541) 967-6580
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
26-CRM-5722
OR
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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