Individual
RICHINA M.K. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
59110 E HIGHWAY 224, ESTACADA, OR 97023-9305
(503) 936-9647
Mailing address
59110 E HIGHWAY 224, ESTACADA, OR 97023-9305
(503) 936-9647
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201807395LPN
OR
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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