Individual
KAREN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-9289
(503) 831-1726
Mailing address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-9289
(503) 831-1726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
08-03-44
OR
Other
Enumeration date
03/04/2016
Last updated
09/08/2016
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