Individual
HOLLI DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 789-4673
Mailing address
2825 E BARNETT RD # MSS, MEDFORD, OR 97504-8332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA227902
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
01/28/2026
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