Organization
MICHAEL E. DAVIS DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWARD DAVIS DMD (PRESIDENT)
(503) 248-1114
Entity
Organization
Contact information
Practice address
2250 NW FLANDERS ST, SUITE 212, PORTLAND, OR 97210-3443
(503) 248-1114
(503) 248-1827
Mailing address
2250 NW FLANDERS ST, SUITE 212, PORTLAND, OR 97210-3443
(503) 248-1114
(503) 248-1827
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
4512
OR
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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