Organization
DAVENPORT MENTAL HEALTH, LLC
Active
Other names
PNW Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE DAVENPORT PSYD (OWNER)
(503) 877-4574
Entity
Organization
Contact information
Practice address
615 N 1ST AVE, STAYTON, OR 97383-1704
(503) 877-4574
Mailing address
910 N 8TH ST, AUMSVILLE, OR 97325-8917
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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