Individual
JOSHUA JOHN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TWH, PSS
Contact information
Practice address
6902 SE LAKE RD STE 302, PORTLAND, OR 97267-2148
(503) 351-7268
Mailing address
6902 SE LAKE RD STE 302, PORTLAND, OR 97267-2148
(503) 351-7268
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
OR
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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