Individual
MR. PETER CHRISTOPHER DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
445 UNION ST NE, SALEM, OR 97301-2458
(503) 559-7490
Mailing address
445 UNION ST NE, SALEM, OR 97301-2458
(503) 559-7490
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
120356
OR
1041C0700X
Clinical Social Worker
Primary
L5597
OR
Other
Enumeration date
08/04/2009
Last updated
10/20/2023
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