Individual
ERIC S. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60302636
WA
363AS0400X
Surgical Physician Assistant
PA00844
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0303388
L&I
WA
05
—
1225013931
—
WA
01
—
P01132210
RR MEDICARE
WA
Enumeration date
12/14/2005
Last updated
06/15/2022
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