Individual
DR. RICHARD VIETS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
930 SW ABBEY ST STE B, NEWPORT, OR 97365-4820
(541) 574-7235
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
11452
NV
207X00000X
Orthopaedic Surgery Physician
Primary
MD201313
OR
207XX0801X
Orthopaedic Trauma Physician
11452
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506392
—
NV
Enumeration date
05/17/2006
Last updated
03/16/2021
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