Individual
REBECCA MARIE GRAY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
18840 SW BOONES FERRY RD STE 110, TUALATIN, OR 97062-9688
(503) 941-5351
Mailing address
16409 SE DIVISION ST, STE 216 #1017, PORTLAND, OR 97236
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC219479
OR
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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