Individual
KATHERINE ELLEN S. DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP/CNM
Contact information
Practice address
1395 LIBERTY ST SE, SALEM, OR 97302-4276
(503) 399-2444
(503) 581-3960
Mailing address
1395 LIBERTY ST SE, SALEM, OR 97302-4276
(503) 399-2444
(503) 581-3960
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
094000237N5 NPNM
OR
367A00000X
Advanced Practice Midwife
094000237N5 NPNM
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000846
—
OR
Enumeration date
07/10/2006
Last updated
10/01/2012
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