Individual
MS. ALTHEA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5417 NE 25TH AVE, PORTLAND, OR 97211-6211
(503) 402-8118
(503) 282-6722
Mailing address
5624 NE 12TH AVE, PORTLAND, OR 97211-4216
(503) 281-1344
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
01/31/2007
Last updated
09/11/2025
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