Individual
BROOKE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
506 4TH ST, LA GRANDE, OR 97850-1906
(541) 663-3138
(541) 975-5120
Mailing address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO198311
OR
Other
Enumeration date
07/18/2014
Last updated
07/02/2020
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