Individual
AUSTIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7369
(360) 993-3000
Mailing address
13490 SE WIESE RD, DAMASCUS, OR 97089-8342
(971) 258-7299
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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