Individual
PATRICK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
850 SW BOOTH BEND RD, MCMINNVILLE, OR 97128-9320
(503) 472-2111
Mailing address
850 SW BOOTH BEND RD, MCMINNVILLE, OR 97128-9320
(503) 472-2111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20557
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20557
MASSAGE LICENS
OR
Enumeration date
06/17/2022
Last updated
03/12/2026
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