Individual
DIANE M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11819 SE WILLIAM OTTY RD, HAPPY VALLEY, OR 97086-8290
(503) 698-5334
(503) 698-5316
Mailing address
11819 SE WILLIAM OTTY RD, HAPPY VALLEY, OR 97086-8290
(503) 698-5334
(503) 698-5316
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
080045760RN
OR
Other
Enumeration date
07/11/2010
Last updated
07/11/2010
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