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Individual

BREANNE MARY DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1000
Mailing address
8950 SW BRABHAM WAY, GASTON, OR 97119
(503) 758-2280

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
WA

Other

Enumeration date
10/29/2019
Last updated
10/29/2019
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