Individual
CHRISTINA KAY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Mailing address
625 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
08/15/2022
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