Individual
JENNIFER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1144 GATEWAY LOOP STE 200, SPRINGFIELD, OR 97477-7706
(541) 686-5060
(541) 686-5063
Mailing address
1144 GATEWAY LOOP STE 200, SPRINGFIELD, OR 97477-7706
(541) 686-5060
(541) 686-5063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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