Individual
SHELBY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N GRAHAM ST STE 555, PORTLAND, OR 97227-2007
(503) 288-7535
(503) 288-7538
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA222243
OR
Other
Enumeration date
08/01/2023
Last updated
01/02/2025
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