Organization
DAVENPORT DEVELOPMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY RAY DAVENPORT (OWNER)
(503) 705-8900
Entity
Organization
Contact information
Practice address
555 SE MARTIN LUTHER KING BLVD, PORTLAND, OR 97214-2120
(503) 705-8900
Mailing address
555 SE MARTIN LUTHER KING BLVD, PORTLAND, OR 97214-2120
(503) 705-8900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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