Individual
ROBERT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
789 WASHINGTON WEST, VALE, OR 97918
(541) 473-2101
(541) 473-2668
Mailing address
789 WASHINGTON WEST, VALE, OR 97918
(541) 473-2101
(541) 473-2668
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00345
OR
Other
Enumeration date
08/01/2005
Last updated
03/15/2010
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