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Individual

DAVID ALEXANDER DAVISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Mailing address
12001 SW BELLEVUE HWY, AMITY, OR 97101-2207
(503) 580-1502

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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