Organization
JOEL R DAVEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL DAVEN MD (PRESIDENT)
(541) 672-0822
Entity
Organization
Contact information
Practice address
544 W UMPQUA ST, SUITE 202, ROSEBURG, OR 97470-2966
(541) 672-0822
(541) 672-0422
Mailing address
544 W UMPQUA ST, SUITE 202, ROSEBURG, OR 97470-2966
(541) 672-0822
(541) 672-0422
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD16514
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007216
—
OR
01
—
30426
DEPT OF LABOR & INDUSTRY
OR
Enumeration date
10/05/2006
Last updated
08/22/2020
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