Individual
MR. JOHN T DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1201 MAIN STREET, STE 210, BAKER CITY, OR 97814-2419
(541) 403-1251
(541) 523-5288
Mailing address
1201 MAIN ST, STE 210, BAKER CITY, OR 97814-2419
(541) 403-1251
(541) 523-5288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3473
OR
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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