Individual
DR. MICHAEL A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
840 ROYAL AVE, SUITE 110, MEDFORD, OR 97504-6461
(541) 732-8370
(541) 732-8371
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD23820
OR
Other
Enumeration date
10/20/2006
Last updated
03/09/2021
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