Individual
SARAH ELLEN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7452
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7452
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
OR
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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