Individual
MR. RANDALL J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1230 NW GARFIELD AVE, CORVALLIS, OR 97330-2056
(541) 738-6117
Mailing address
1230 NW GARFIELD AVE, CORVALLIS, OR 97330-2056
(541) 738-6117
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00999
OR
Other
Enumeration date
03/01/2007
Last updated
11/28/2011
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