Individual
GREGORY D DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 882-2778
(360) 604-1676
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010186
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT00010186
PT LICENSE
WA
01
—
PT5755
PT LICENSE
OR
Enumeration date
08/05/2006
Last updated
10/21/2019
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