Individual
CATHY ANN DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1295 WALLACE RD NW, SALEM, OR 97304-3007
(503) 763-6444
Mailing address
PO BOX 1212, MCMINNVILLE, OR 97128-1212
(971) 237-2986
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11758
OR
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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