Individual
MRS. CARISSA KAY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
940 SW 191ST CT, BEAVERTON, OR 97006-2460
(503) 690-7575
Mailing address
940 SW 191ST CT, BEAVERTON, OR 97006-2460
(503) 690-7575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
OR
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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