Individual
SUE L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 249-3434
Mailing address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 249-3434
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
200740120RN
OR
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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