Individual
SIDNEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
229 NE 167TH PL, PORTLAND, OR 97230-6203
(616) 824-6044
Mailing address
229 NE 167TH PL, PORTLAND, OR 97230-6203
(616) 824-6044
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
25451446
OR
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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