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Individual

MICHELLE DAVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, DNP

Contact information

Practice address
3377 RIVERBEND DR STE 420, SPRINGFIELD, OR 97477-8807
(541) 222-8500
(541) 222-6435
Mailing address
3377 RIVERBEND DR STE 420, SPRINGFIELD, OR 97477-8807
(541) 222-8500
(541) 222-6435

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201250099NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500649237
OR
Enumeration date
09/13/2010
Last updated
06/26/2025
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