Individual
DR. JUSTIN MICHAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9370 SW GREENBURG RD # 605, TIGARD, OR 97223-5442
(503) 206-4620
(503) 206-5013
Mailing address
380 W FAIRFIELD ST, GLADSTONE, OR 97027-2029
(503) 703-3533
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4037
OR
Other
Enumeration date
07/20/2010
Last updated
05/20/2013
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