Individual
CRAIG STEPHEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
831 NW COUNCIL DR, SUITE 101, GRESHAM, OR 97030-3721
(503) 665-8176
(503) 665-8178
Mailing address
831 NW COUNCIL DR, SUITE 101, GRESHAM, OR 97030-3721
(503) 665-8176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20352
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150020
—
OR
Enumeration date
08/30/2006
Last updated
09/30/2016
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