Individual
DR. AMANDA GRACE DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301
(503) 945-2800
Mailing address
PO BOX 14900, SALEM, OR 97309-5016
(503) 945-9469
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1781
OR
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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